Crystalline forms of rapamycin analogs

ABSTRACT

Provided is a rapamycin analog composition including a crystalline form of a rapamycin analog. The crystal can be a hydrate. dehydrate, solvate, or desolvate. The rampamycin analog can have a structure of Formula 1, which is optionally a prodrug, salt, derivative, or combination thereof:

CROSS-REFERENCE TO RELATED APPLICATIONS

This application is a continuation application of U.S. application Ser.No. 11/781,804, which claims the benefit of U.S. Provisional PatentApplication Ser. No. 60/820,317, filed Jul. 25, 2006, and entitled“CRYSTALLINE FORMS OF RAPAMYCIN ANALOGS,” with Shekhar Viswanath, LarryBartelt, Robert Leanna, Michael Rasmussen, Madhup Dhaon, Rodger Henry,Thomas Borchardt, and Geoff Zhang as inventors, the teachings of whichare incorporated herein by specific reference.

FIELD OF THE INVENTION

The present invention relates to crystalline forms of rapamycin analogsas well as compositions, uses, and methods for making the same. Moreparticularly, the present invention relates to crystalline forms of therapamycin analog zotarolimus (i.e., ABT-578).

BACKGROUND OF THE INVENTION

In pharmaceuticals, there are typically trade-offs between drugsolubility, stability, absorption, and bioavailability which can bemodulated by the form of the drug. Some forms of active compounds sufferfrom very low solubility or insolubility in water and undergo extensivefirst hepatic pass metabolism. Some forms of active compounds sufferfrom poor absorption due to their low water solubility. Properties of asolid form of an active compound, such as its crystal habit andmorphology, can significantly affect its properties. As such, selectionof a form of an active component can therefore significantly alter theperformance of pharmaceuticals and other chemical products.Traditionally, rapamycin and rapamycin analogs have been prepared inamorphous forms within pharmaceutical compositions.

Despite the development and research of crystallization methods, controlover crystallization based on structural understanding and the abilityto design crystals and other solid-forms is still limited. The controlon nucleation, growth, dissolution, and morphology of molecular crystalsremains primarily a matter of “mix and try” (Weissbuch, I., Lahav, M.,and Leiserowitz, L., Molecular Modeling Applications in Crystallization,166, 1999). Because many variables influence crystallization,precipitation, phase shift, and the solid-forms produced therefrom andbecause so many reagents and process variables are available, testing ofindividual solid-formation and crystal structure modification is anextremely tedious process. Despite the importance of crystal structurein the pharmaceutical industry, optimal crystal structures or optimalamorphous solids are not vigorously or systematically sought. Thus, theselection of a form of a rapamycin analog, such as a crystalline form,can significantly alter its performance in a specific application, andsuch forms continue to be sought.

Therefore, it would be beneficial to have a crystalline form of arapamycin analog that can be used in therapeutic treatments.Additionally, it would be beneficial to have compositions, methods ofuse, and methods of manufacture for the crystalline form of therapamycin analog.

SUMMARY OF THE INVENTION

The invention relates to compositions, uses, and method for makingcrystalline forms of rapamycin analogs, and more specifically,crystalline forms of zotarolimus (i.e., ABT-578).

In one embodiment, the present invention includes a crystalline form ofa rapamycin analog. The crystalline forms of the rapamycin analog can beprepared by various methods, which are described herein. Suchcrystalline forms can be prepared so that a suitable crystalline formcan be identified for a particular use. The rapamycin analog can have astructure of Formula 1, Formula 2, or Formula 3 as illustrated below.Also, the crystalline rapamycin analog can be a prodrug, salt,derivative, or combination thereof.

In one embodiment, the crystal is a solvate. As such, the crystal caninclude an organic solvent included therein, where the solvent is usedto prepare the crystal. The organic solvent can be selected from thegroup consisting of solvents that can be used in preparing the rapamycinanalog include acetone, ethyl acetate, methanol, ethanol, n-propanol,isopropanol, isobutanol, tertbutanol, 2-butanol, acetronitrile,tetrahydrofuran, isobutyl acetate, n-butyl acetate, ethyl formate,n-propyl acetate, isopropyl acetate, methylethyl ketone, toluene, N,Ndimethyl formamide, anisole, methyl isopropyl ketone, nitromethane,propionitrile, 2-butanone (i.e., methyl ethyl ketone or MEK),tetrahydrofuran, 1,2-dimethoxyethane, isopropyl acetate, any combinationthereof, and the like.

In one embodiment, the crystal is a desolvate. As such, the crystal canbe selected from the group consisting of an acetone desolvate, toluenedesolvate, acetonitrile desolvate, ethyl formate desolvate, isobutylacetate desolvate, N,N dimethyl formamide, and any combination thereof.

In one embodiment, the present invention includes a process forpreparing a crystalline form of a rapamycin analog. Such a processcomprises the following: combining the rapamycin analog with at leastone organic medium to form a mixture; incubating the mixture until therapamycin analog crystallizes; and recovering the crystalline rapamycinanalog from the organic medium.

In one embodiment, the organic medium can be comprised of at least onesolvent to form the mixture. As such, the process for preparing thecrystalline form of the rapamycin analog includes causing the rapamycinanalog to dissolve into the solvent, and incubating the solvent untilthe rapamycin analog crystallizes.

In one embodiment, the process includes forming a slurry of crystallinerapamycin analog in the solution. In one embodiment, the processincludes stirring the rapamycin analog mixture until the rapamycinanalog crystallizes. In one embodiment, the process includes saturatingthe rapamycin analog solution. This can include forming a supersaturatedrapamycin analog solution.

In one embodiment, the process includes the use of an antisolvent to aidin forming the crystalline rapamycin analog. Such a method includescombining at least one antisolvent with the rapamycin analog and thesolvent to form a biphasic mixture, and incubating the biphasic mixtureto cause a liquid-liquid phase split with a majority of the rapamycinanalog being in the solvent and a minority of the rapamycin analog beingin the antisolvent. Optionally, the solvent can be separated from theantisolvent before the crystals are separated out.

It is to be understood that the foregoing general description and thefollowing detailed description are exemplary and explanatory only andare not to be viewed as being restrictive of the present invention, asclaimed. Further advantages of this invention will be apparent after areview of the following detailed description of the disclosedembodiments which are illustrated schematically in the accompanyingdrawings and in the appended claims.

BRIEF DESCRIPTION OF THE DRAWINGS

To further clarify the above and other advantages and features of thepresent invention, a more particular description of the invention willbe rendered by reference to specific embodiments thereof which areillustrated in the appended drawings. It is appreciated that thesedrawings depict only typical embodiments of the invention and aretherefore not to be considered limiting of its scope. The invention willbe described and explained with additional specificity and detailthrough the use of the accompanying drawings in which:

FIG. 1 shows a schematic representation of an embodiment of a method ofpreparing a rapamycin analog.

FIG. 2A is a graph illustrating a powder X-ray diffraction pattern of anembodiment of a crystalline form of a rapamycin analog acetone solvate.

FIG. 2B is a graph illustrating a powder X-ray diffraction pattern of anembodiment of a crystalline form of a rapamycin analog acetone solvate.

FIG. 3A is a graph illustrating a powder X-ray diffraction pattern of anembodiment of a crystalline form of a rapamycin analog acetonedesolvate.

FIG. 3B is a graph illustrating a powder X-ray diffraction pattern of anembodiment of a crystalline form of a rapamycin analog acetonedesolvate.

FIG. 4A is a graph illustrating a powder X-ray diffraction pattern of anembodiment of a crystalline form of a rapamycin analog toluene solvate.

FIG. 4B is a graph illustrating a powder X-ray diffraction pattern of anembodiment of a crystalline form of a rapamycin analog toluene solvate.

FIG. 4C is a schematic diagram of an embodiment of a single X-raycrystal structure for the rapamycin analog toluene solvate of FIG. 4B.

FIG. 4D is a schematic diagram of an embodiment of a crystal structureshowing solvent channels along the “b” axis for the rapamycin analogtoluene solvate of FIG. 4B

FIG. 4E is a graph illustrating a powder X-ray diffraction pattern of anembodiment of a crystalline form of a rapamycin analog toluenedesolvate.

FIG. 4F is a graph showing the change in powder X-ray diffractionpatterns during the desolvation of the rapamycin analog toluene solvateof FIG. 4B.

FIG. 5A is a graph illustrating a powder X-ray diffraction pattern of anembodiment of a crystalline form of a rapamycin analog acetonitrilesolvate.

FIG. 5B is a graph illustrating a powder X-ray diffraction pattern of anembodiment of a crystalline form of a rapamycin inalog acetonitrilesolvate.

FIG. 6A is a graph illustrating a powder X-ray diffraction pattern of anembodiment of a crystalline form of a rapamycin analog acetonitriledesolvate.

FIG. 6B is a graph illustrating a powder X-ray diffraction pattern of anembodiment of a crystalline form of a rapamycin analog acetonitriledesolvate.

FIG. 6C is a graph illustrating a thermogravimetric analysis of anembodiment of a crystalline form of a rapamycin analog acetonitriledesolvate.

FIG. 7A is a graph illustrating a powder X-ray diffraction pattern of anembodiment of a crystalline form of a rapamycin analog ethyl formatesolvate.

FIG. 7B is a graph illustrating a powder X-ray diffraction pattern of anembodiment of a crystalline form of a rapamycin analog ethyl formatesolvate.

FIG. 7C is a graph illustrating a thermogravimetric analysis of anembodiment of a crystalline form of a rapamycin analog ethyl formatesolvate.

FIG. 8 is a graph illustrating a powder X-ray diffraction pattern of anembodiment of a crystalline form of a rapamycin analog ethyl formatedesolvate.

FIG. 9A is a graph illustrating a powder X-ray diffraction pattern of anembodiment of a crystalline form of a rapamycin analog isobutyl acetatesolvate.

FIG. 9B is a graph illustrating a powder X-ray diffraction pattern of anembodiment of a crystalline form of a rapamycin analog isobutyl acetatesolvate.

FIG. 9C is a graph illustrating a thermogravimetric analysis of anembodiment of a crystalline form of a rapamycin analog isobutyl acetatesolvate.

FIG. 10A is a graph illustrating a powder X-ray diffraction pattern ofan embodiment of a crystalline form of a rapamycin analog N,N dimethylformamide solvate.

FIG. 10B is a graph illustrating a powder X-ray diffraction pattern ofan embodiment of a crystalline form of a rapamycin analog N,N dimethylformamide solvate.

FIG. 10C is a graph illustrating a thermogravimetric analysis of anembodiment of a crystalline form of a rapamycin analog N,N dimethylformamide solvate.

FIG. 11A is a graph illustrating a powder X-ray diffraction pattern ofan embodiment of a crystalline form of a rapamycin analog anisolesolvate.

FIG. 11B is a graph illustrating a powder X-ray diffraction pattern oran embodiment of a crystalline form of a rapamycin analog anisolesolvate.

FIG. 11C is a graph illustrating thermogravimetric analysis of anembodiment of a crystalline form of o rapamycin analog anisole solvate.

FIG. 12A is a graph illustrating a powder X-ray diffraction pattern ofan embodiment of a crystalline form of a rapamycin analog ethanolsolvate.

FIG. 12B is a graph illustrating a powder X-ray diffraction pattern ofan embodiment of a crystalline form of a rapamycin analog ethanoldesolvate.

FIG. 13A is a graph illustrating a powder X-ray diffraction pattern ofan embodiment of a crystalline form of a rapamycin analog methanolsolvate

FIG. 13B is a graph illustrating a powder X-ray diffraction pattern ofan embodiment of a crystalline form of a rapamycin analog methanoldesolvate.

FIG. 14A is a graph illustrating a powder X-ray diffraction pattern ofan embodiment of a crystalline form of a rapamycin analog ethyl acetatesolvate.

FIG. 14B is a graph illustrating a powder X-ray diffraction pattern ofan embodiment of a crystalline form of a rapamycin analog ethyl acetatedesolvate.

FIG. 15A is a graph illustrating a powder X-ray diffraction pattern ofan embodiment of a crystalline form of a rapamycin analog methylisopropyl ketone solvate.

FIG. 15B a graph illustrating a powder X-ray diffraction pattern of anembodiment of a crystalline form of a rapamycin analog methyl isopropylketone desolvate.

FIG. 16 is a graph illustrating a powder X-ray diffraction pattern of anembodiment of a crystalline form of a rapamycin analog nitromethanesolvate.

FIG. 17A is a graph illustrating a powder X-ray diffraction pattern ofan embodiment of a crystalline form of a rapamycin analog isopropylacetate solvate,

FIG. 17B is a graph illustrating a powder X-ray diffraction pattern ofan embodiment of a crystalline form of a rapamycin analog isopropylacetate desolvate.

FIG. 18A is a graph illustrating a powder X-ray diffraction pattern ofan embodiment of a crystalline form of a rapamycin analog propionitrilesolvate.

FIG. 18B is a graph illustrating a powder X-ray diffraction pattern ofan embodiment of a crystalline form of a rapamycin analog propionitriledesolvate.

FIG. 19A is a graph illustrating a powder X-ray diffraction pattern ofan embodiment of a crystalline form of a rapamycin analog methyl ethylketone solvate.

FIG. 19B is a graph illustrating a powder X-ray diffraction pattern ofan embodiment of a crystalline form of a rapamycin analog methyl ethylketone desolvate.

FIG. 20A is a graph illustrating a powder X-ray diffraction pattern ofan embodiment of a crystalline form of a rapamycin analogtetrahydrofuran solvate.

FIG. 20B is a graph illustrating a powder X-ray diffraction pattern ofan embodiment of a crystalline form of a rapamycin analogtetrahydrofuran desolvate.

FIG. 21A is a graph illustrating a powder X-ray diffraction pattern ofan embodiment of a crystalline form of a rapamycin analog1,2-dimethoxyethane solvate.

FIG. 21B is a graph illustrating a powder X-ray diffraction pattern ofan embodiment of a crystalline form of a rapamycin analog1,2-dimethoxyethane desolvate.

DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENTS

Generally, the present invention relates to crystal habits,compositions, uses, and methods for making crystalline forms ofrapamycin analogs, such as the rapamycin analog zotarolimus (i.e.,ABT-578). The crystalline forms of the rapamycin analog can be preparedby various methods, which are described herein. Such crystalline formscan be prepared so that a suitable crystalline form can be identifiedfor a particular use.

I. Crystalline Rapamycin Analogs

In one embodiment, the rapamycin analog can have the structure ofFormula 1, Formula 2, Formula 3, or a combination thereof.

The rapamycin analog for Formula 2 can be referred to as zotarolimus orABT-578. Additionally, the drug can be any pharmaceutically acceptablesalt or prodrug of the rapamycin analog. The preparation ofpharmaceutically acceptable salts and/or prodrugs of bioactive agents,such as zotarolimus, are well known in the art.

Additionally, the rapamycin analogs of Formulas 1-3 can exist inequilibrium in solution with another analog as shown in Formula 4. Therapamycin analog of Formula 4 can also be the corresponding analogs ofFormulas 2-3. As such, the raparnycin analog of Formula 4 (and theequivalents to Formulas 2-3) can also form crystals or be incorporatedinto the crystals of the rapamycin analogs of Formulas 1-3.

In one embodiment, the rapamycin analog can be a derivative of theanalogs shown in Formulas 1-4. A derivative can be prepared by makingminor substitutions such as hydroxylating, methylating, ethylating, orotherwise minimally altering a substitutent.

In some instances, the rapamycin analog can be formed into salts, ifpossible, comprising pharmacologically acceptable anions includingacetate, benzenesulfonate, benzoate, bicarbonate, bitartrate, bromide,calcium edetate, camsylate, carbonate, chloride, bromide, iodide,citrate, dihydrochloride, edetate, edisylate, estolate, esylate,fumarate, gluceptate, gluconate, glutamate, glycollylarsanilate,hexylresorcinate, hydrabamine, hydroxynaphthoate, isethionate, lactate,lactobionate, malate, maleate, mandelate, mesylate, methylsulfate,muscate, napsylate, nitrate, panthotlienate, phosphate/diphosphate,polygalacturonate, salicylate, stearate, succinate, sulfate, tannate,tartrate, teoclate, triethiodide, and pamoate (i.e.,1,1′-methylene-bis-(2-hydroxy-3-naphthoate)).

A. Crystalline Forms

The various crystalline rapamycin analogs of the present invention canhave different properties. That is, the crystals can have differentstructural, physical, pharmacological, or chemical characteristics.Structural properties include, but are not limited to, the crystallinepolymorphic form and a description of the crystal habit. Structuralproperties also include the composition, such as whether the solid-formis a hydrate, dehydrate, solvate, desolvate, salt, combination thereof,and the like.

Also, the physical state of a crystalline rapamycin analog can befurther divided into: (1) whether the crystal matrix includes aco-adduct; (2) morphology (e.g., crystal habit); and (3) internalstructure (e.g., polymorphism). In a co-adduct, the crystal matrix caninclude either a stoichiometric or non-stoichiometric amount of theadduct, for example, a crystallization solvent or water (e.g., a solvateor a hydrate). Non-stoichiometric solvates and hydrates includeinclusions or clathrates, that is, where a solvent or water is trappedat random intervals within the crystal lattice matrix. A stoichiometricsolvate or hydrate is where a crystal matrix includes a solvent or waterat specific sites in a specific ratio. That is, the solvent or watermolecule can be part of the crystal matrix in a defined arrangement.Additionally, the physical state of a crystal matrix can change byremoving a co-adduct, originally present in the crystal matrix. Forexample, if a solvent or water is removed from a solvate or a hydrate, ahole is formed within the crystal matrix, thereby forming a new physicalstate. Such physical states are referred to herein as dehydratedhydrates (i.e., dehydrates) or desolvated solvates (i.e., desolvates).

The crystal habit is the description of the outer appearance of anindividual crystal. For example, a crystal may have a cubic, tetragonal,orthorhombic, monoclinic, triclinic, rhomboidal, or hexagonal shape.

The internal structure of a crystal refers to the crystalline form orpolymorphism. A given compound, such as a rapamycin analog, may exist asdifferent polymorphs, that is, distinct crystalline species. In general,different polymorphs of a given compound can be as different instructure and properties as the crystals of two different compounds.Solubility, melting point, density, hardness, crystal shape, optical andelectrical properties, vapor pressure, stability, and the like can varywith the polymorphic form.

The crystalline structure of a compound, such as a rapamycin analog,plays an important role in determining the properties that affectbioavailability and effectiveness as a pharmaceutical. The properties ofmany compound, can be modified by structural changes. For example,different polymorphs or crystals of the same pharmaceutical compound canhave different therapeutic activities. Understanding structure-propertyrelationships can be important in efforts to maximize the desirableproperties of rapamycin analogs, such as the therapeutic effectivenessof a pharmaceutical.

B. Crystallization

The process of crystallization is one of ordering the rapamycin analogin a solid lattice structure. During this process, randomly organizedmolecules in a solution, a melt, or the gas phase take up regularpositions in the lattice structure. The regular organization of thelattice is responsible for many of the unique properties of crystals,including the diffraction of x-rays, defined melting point, and sharp,well-defined crystal faces. While precipitation usually refers toformation of amorphous substances that have no symmetry or ordering andcannot be defined by habits or as polymorphs, it can also refer to theprocess of forming crystals by precipitation. Both crystallization andprecipitation result from the inability of a solution to fully dissolvethe rapamycin analog and can be induced by changing the state (e.g.,varying parameters) of the composition in some way.

Some of the important processes in crystallization are nucleation,growth kinetics, interfacial phenomena, agglomeration, and breakage.Nucleation results when the phase-transition energy barrier is overcome,thereby allowing a particle to form from a supersaturated solution.Crystal growth is the enlargement of crystal particles caused bydeposition of the rapamycin analog on an existing surface of thecrystal. The relative rate of nucleation and growth determine the sizedistribution of the crystals that are formed. The thermodynamic drivingforce for both nucleation and growth is supersaturation, which isdefined as the deviation from thermodynamic equilibrium. Agglomerationis the formation of larger particles through two or more particles(e.g., crystals) sticking together and forming a larger crystallinestructure.

Rapamycin analogs can assume many different crystal forms and sizesdepending on the protocol and conditions for forming the crystallineform. Particular emphasis has been put on the crystal characteristics inthe pharmaceutical industry (e.g., polymorphic form, size, crystalhabit, and crystal-size distribution) because crystal structure and sizecan affect manufacturing, formulation, and pharmacokinetics, includingbioavailability. There are four broad classes by which crystals of agiven compound may differ: composition; habit; polymorphic form; andcrystal size.

The crystal composition typically describes whether the solid-form is asingle compound, such as pure rapamycin analog, or is a mixture ofcompounds. For example, solid-forms can be present in their neutralform, such as the free base of a compound having a basic nitrogen or asa salt (e.g., the hydrochloride salt of a basic nitrogen-containingcompound). A crystal composition can also describe crystals containingadduct molecules. During crystallization or precipitation, an adductmolecule (e.g., a solvent or water) can be incorporated into thecrystalline lattice matrix, adsorbed on the surface, or trapped withinthe lattice of the crystal. Such compositions are referred to asinclusions, such as hydrates (e.g., water molecule incorporated in thelattice) and solvates (e.g., solvent trapped within a lattice), Whethera crystal forms as an inclusion can have a profound effect on theproperties, such as the bioavailability or ease of processing ormanufacture of the rapamycin analog. For example, inclusions maydissolve more or less readily or have different mechanical properties orstrengths than the corresponding non-inclusion crystal structures of thesame compound.

Accordingly, the rapamycin analog can crystallize in different externalshapes depending on, amongst others, the composition and temperature ofthe crystallizing medium. The crystal-face shapes are described as thecrystal habit. Such information is important because the crystal habithas a large influence on the surface-to-volume ratio of the crystal.Although different crystal habits can have the same internal structureand identical single crystal patterns, they can still exhibit differentpharmaceutical properties (Haleblian 1975. J. Pharm. Sci., 64:1269).Crystal habit can influence several pharmaceutical characteristics, forinstance, mechanical factors, such as syringeability, tabletingbehavior, filtration, drying, and mixing with other substances (e.g.,excipients) and non-mechanical factors such as dissolution rate.

Additionally, the same rapamycin analog can crystallize as more than onedistinct crystalline species (e.g., having a different internal latticestructure) or shift from one crystalline species to another. Thisphenomena is known as polymorphism, and the distinct species are knownas polymorphs. Polymorphs can exhibit different optical properties,melting points, solubilities, chemical reactivities, dissolution rates,and different bioavailabilities. It is well known that differentpolymorphs of the same pharmaceutical compound can have differentpharmacokinetics. For example, one polymorph can be absorbed morereadily than its counterpart. In the extreme, only one polymorphic formof a given pharmaceutical may be suitable for disease treatment.However, it is likely that the different polymorphs have differentproperties that can be utilized together or apart. For example,polymorphs having different solubility properties can be used togetherin order to customize release or elution profiles, or can be used indifferent formulations or therapies. Thus, the discovery and developmentof novel or beneficial rapamycin analog polymorplis is extremelyimportant, especially in the pharmaceutical area.

Amorphous solids, such as traditional rapamycin and rapamycin analogs,have no crystal shape and cannot be characterized according to habit orpolymorphic form. A common amorphous solid is glass in which the atomsand molecules exist in a non-uniform array. Amorphous solids are usuallythe result of rapid solidification and can be conveniently identified byx-ray powder diffraction, since these solids give very diffuse lines orno crystal diffraction pattern. While amorphous solids may often havedesirable pharmaceutical properties, such as rapid dissolution rates,they are not usually preferred because of their physical and/or chemicalinstability. An amorphous solid is in a high-energy structural staterelative to its crystalline form, and thus it may crystallize duringstorage or shipping. Also, an amorphous solid may be more sensitive tooxidation (Pikal et al., 1997, J. Pharm. Sci. 66:1312). Amorphous solidscan be obtained by solidifying in such a way as to avoid thethermodynamically preferred crystallization process. They can also beprepared by disrupting an existing crystal structure.

Crystallization and precipitation are phase changes that result in theformation of a crystalline solid or an amorphous solid from a solution.Crystallization also includes polymorphic shift from one crystallinespecies to another. The most common type of crystallization iscrystallization from solution in which a substance is dissolved at anappropriate temperature in a solvent, then the system is processed toachieve supersaturation followed by nucleation and crystal growth.

C. Crystallization Components

As stated above, solvents influence the crystallization and resultingrapamycin analog crystals. In general, most crystallization compositionscontain a solvent as one of the components. Solvents may influence anddirect the formation of crystals through polarity, viscosity, boilingpoint, volatility, charge distribution, and molecular shape. The solventidentity and concentration is one way to control saturation, Indeed, onecan crystallize under isothermal conditions by simply adding anonsolvent (i.e., antisolvent) to an initially subsaturated solution.Also, a solution of the rapamycin analog in which varying amounts ofnonsolvent are added can change the crystallization and resultingcrystal because the solubility of the rapamycin analog is exceeded whensome critical amount of nonsolvent is added. Further addition of thenonsolvent increases the supersaturation of the solution and, therefore,the growth rate of the rapamycin analog crystals that are grown.

Mixed solvents also add the flexibility of changing the thermodynamicactivity of one of the solvents independent of temperature. Thus, ahydrate or solvate can be produced at a given temperature simply bycarrying out crystallization over a range of solvent compositions. Forexample, crystallization from a methanol-water solution that is veryrich in methanol can favor crystal hydrates with fewer watersincorporated in the solid (e.g., dihydrate vs. hemihydrate) while awater rich solution will favor hydrates with more waters incorporatedinto the solid. The precise boundaries for producing the respectivehydrates are found by examining the elements of the array whenconcentration of the solvent component is the variable.

In one embodiment, solvents that are generally accepted within thepharmaceutical industry for use in manufacture of pharmaceuticals areused in the crystallization of the rapamycin analog. Various mixtures ofthose solvents can also be used. The solubilities of the rapamycinanalog is high in some solvents and low in others. Solutions can bemixed in which the high-solubility solvent is mixed with thelow-solubility solvent until crystal formation is induced. Solventsinclude, but are not limited to, aqueous based solvents such as water oraqueous acids, bases, salts, buffers or mixtures thereof and organicsolvents, such as protic, aprotic, polar or non-polar organic solvents.

Specific applications of the crystallizing compound may createadditional requirements. For example, in the case of pharmaceuticalssuch as a rapamycin analog, solvents are selected based on theirbiocompatibility as well as the solubility. For example, the ease withwhich the rapamycin analog is dissolved in the solvent and the lack ofdetrimental effects of the solvent on the analog are factors to considerin selecting the solvent. Preferred organic solvents are volatile orhave a relatively low boiling point or can be removed under vacuum andthat are acceptable for administration to humans in trace amounts, suchas methylene chloride. Other solvents, such as ethyl acetate, ethanol,methanol, dimethyl formamide, acetone, acetonitrile, tetrahydrofuran,acetic acid, dimethyl sulfoxide, and chloroform, and mixture thereof,also can be used. Preferred solvents are those rated as class 3 residualsolvents by the Food and Drug Administration, as published in theFederal Register vol. 62, number 85, pp. 24301-24309 (May 1997).Solvents for rapamycin analogs that are administered parenterally or asa solution or suspension can more typically be distilled water, bufferedsaline, Lactated Ringer's, or some other pharmaceutically acceptablecarrier.

Specific examples of solvents that can be used in preparing therapamycin analog include acetone, ethyl acetate, methanol, ethanol,n-propanol, isopropanol, isobutanol, tertbutanol, 2-butanol,acetronitrile, tetrahydrofuran, isobutyl acetate, n-butyl acetate, ethylformate, n-propyl acetate, isopropyl acetate, methylethyl ketone,toluene, N,N dimethyl formamide, anisole, methyl isopropyl ketone,nitromethane, propionitrile, 2-butanone 9 i.e., methyl ethyl ketone orMEK), tetrahydrofuran, 1,2-dimethoxyethane, isopropyl acetate, anycombination thereof, and the like,

Specific examples of antisolvents that can be used in preparing therapamycin analog include cyclohexane, heptane, hexane, n-octane,iso-octane, methylcyclohexane, any combination thereof, and the like.

A specific example of a solvent/antisolvent system that can be used inpreparing the rapamycin analog include acetone/heptane.

Other substances may also be added to the crystallization reactions thatinfluence the generation of a crystalline form. These crystallizationadditives can be either reaction byproducts, related molecules, randomlyscreened compounds (such as those present in small molecule libraries),or any of various other additives found in pharmaceutical compositions.They can be used to either promote or control nucleation, to direct thegrowth or growth rate of a specific crystal or set of crystals, and anyother parameter that affects crystallization. The influence ofcrystallization additives may depend on their relative concentrationsand thus the invention provides methods to assess a range ofcrystallization additives and concentrations. Examples ofcrystallization additives include, but are not limited to, additivesthat promote and/or control nucleation, additives that afleet crystalhabit, and additives that affect polymorphic form.

Specific examples of crystallization additives that can be used inpreparing the rapamycin analog include a rapamycin solvate, a rapamycindesolvate, a rapamycin hydrate, and a rapamycin dehydrate.

In still another embodiment, other substances can be used includingsolid phase GRAS compounds or alternatively, small molecule libraries(e.g., in solid phase).

The presence of surfactant-like molecules in the crystallization vesselmay influence the crystal nucleation and selectively drive the growth ofdistinct polymorphic forms. Thus, surfactant-like molecules can beintroduced into the crystallization vessel either by pre-treating or bydirect addition to the crystallization medium. Surfactant molecules canbe either specifically selected or randomly screened for their influencein directing crystallization. In addition, the effect of the surfactantmolecule is dependent on its concentration in the crystallization vesseland thus the concentration of the surfactant molecules should becarefully controlled.

In some cases, direct seeding of crystallization reactions will resultin an increased diversity of crystal forms being produced. In oneembodiment, particles are added to the crystallization reactions. Inanother, nanometer-sized crystals (e.g., nanoparticles) are added to thecrystallization reactions. These particles can be either nanometer sizedor larger.

II. Crystalline Rapamycin Analogs

In one embodiment, the present invention includes a crystalline form ofa rapamycin analog. The crystalline forms of the rapamycin analog can beprepared by various methods, which are described herein, Suchcrystalline forms can be prepared so that a suitable crystalline formcan be identified for a particular use. The rapamycin analoa can have astructure of Formula 1, Formula 2, or Formula 3 as illustrated above.Also, the crystalline rapamycin analog can be a prodrug, salt,derivative, or combination thereof.

In one embodiment, the crystal is a solvate. As such, the crystal caninclude an organic solvent included therein. The organic solvent can beselected from the group consisting of acetone, ethyl acetate, methanol,ethanol, n-propanol, isopropanol, isobutanol, tertbutanol, 2-butanol,acetronitrile, tetrahydrofuran, isobutyl acetate, n-butyl acetate, ethylformate, n-propyl acetate, isopropyl acetate, methylethyl ketone,toluene, N,N dimethyl formamide, anisole, and any combination thereof.

In one embodiment, the crystal is a desolvate. As such, the crystal canbe selected from the group consisting of an acetone desolvate, toluenedesolvate, acetonitrile desolvate, ethyl formate desolvate, isobutylacetate desolvate, N,N dimethyl formamide, and any combination thereof.

In one embodiment, the crystalline rapamycin analog has a powder X-raydiffraction pattern with a peak at about 5.2, 9.1, and/or 13.2. Also,the powder X-ray diffraction pattern is substantially as shown in FIG.2A.

In one embodiment, the crystalline rapamycin analog has a powder X-raydiffraction pattern with a peak at about 5.3, 10.2, 10.6, 13.3 and/or16.0. Also, the powder X-ray diffraction pattern is substantially asshown in FIG. 2B.

In one embodiment, the crystalline rapamycin analog has a powder X-raydiffraction pattern with a peak at about 5.3, 10.2, 10.5, and/or 13.3.Also, the powder X-ray diffraction pattern is substantially as shown inFIG. 3A.

In one embodiment, the crystalline rapamycin analog has a powder X-raydiffraction pattern with a peak at about 6.3, and/or 12.6. Also, thepowder X-ray diffraction pattern is substantially as shown in FIG. 3B.

In one embodiment, the crystalline rapamycin analog has a powder X-raydiffraction pattern with a peak at about 5.4, 5.9, 9.9, 13.8, and/or15.5. Also, the powder X-ray diffraction pattern is substantially asshown in FIGS. 4A and/or 4B.

In one embodiment, the crystalline rapamycin analog has a powder X-raydiffraction pattern with a peak at about 5.9, 6.2, 9.1, 9.8, 12.5, 13.6,16.4, 17.7, 17.9, and/or 21.8. Also, the powder X-ray diffractionpattern is substantially as shown in FIG. 4E.

In one embodiment, the crystalline rapamycin analog has a powder X-raydiffraction pattern with a peak at about 5.2, 5.6, 6.0, 7.3, 10.0,and/or 21.5. Also, the powder X-ray diffraction pattern is substantiallyas shown in FIG. 5A.

In one embodiment, the crystalline rapamycin analog has a powder X-raydiffraction pattern with a peak at about 5.3, 10.6, 12.8, 13.3, 15.9,16.7, 21.3, and/or 21.9. Also, the powder X-ray diffraction pattern issubstantially as shown in FIG. 5B.

In one embodiment, the crystalline rapamycin analog has a powder X-raydiffraction pattern with a peak at about 3.9, 8.7, 9.5, 13.8, 15.7,and/or 16.9. Also, the powder X-ray diffraction pattern is substantiallyas shown in FIG. 6A.

In one embodiment, the crystalline rapamycin analog has a powder X-raydiffraction pattern with a peak at about 6.2, 10.4, 11.9, 12.5, 15.4,18.5, and/or 21.5. Also, the powder X-ray diffraction pattern issubstantially as shown in FIG. 6B.

In one embodiment, the crystalline rapamycin analog has a powder X-raydiffraction pattern with a peak at about 5.9, 7.7, 9.1, 10.0, and/or10.5. Also, the powder X-ray diffraction pattern is substantially asshown in FIG. 7A.

In one embodiment, the crystalline rapamycin analog has a powder X-raydiffraction pattern with a peak at about 5.3, 5.5, 10.6, 15.9, 16.5,and/or 19.2. Also, the powder X-ray diffraction pattern is substantiallyas shown in FIG. 7B.

In one embodiment, the crystalline rapamycin analog has a powder X-raydiffraction pattern with a peak at about 6.2, 12.5, and/or 15.4. Also,the powder X-ray diffraction pattern is substantially as shown in FIG.8.

In one embodiment, the crystalline rapamycin analog has a powder X-raydiffraction pattern with a peak at about 5.0, 7.0, 9.1, 10.1, 15.4, and16.0. Also, the powder X-ray diffraction pattern is substantially asshown in FIGS. 9A and/or 9B.

In one embodiment, the crystalline rapamycin analog has a powder X-raydiffraction pattern with a peak at about 5.1, 7.2, 9.0, 9.2, 10.3, 11.5,15.7, and 16.3. Also, the powder X-ray diffraction pattern issubstantially as shown in FIGS. 10A and/or 10B.

In one embodiment, the crystalline rapamycin analog has a powder X-raydiffraction pattern with a peak at about 6.1, 8.9, 9.4, 10.0, 10.2, and12.2. Also, the powder X-ray diffraction pattern is substantially asshown in FIGS. 11A and/or 11B.

In one embodiment, the crystalline rapamycin analog has a powder X-raydiffraction pattern with a peak at about 5.3, 7.2, 10.5, 15.8, 16.6,19.1, and/or 21.2. Also, the powder X-ray diffraction pattern issubstantially as shown in FIG. 12A.

In one embodiment, the crystalline rapamycin analog has a powder X-raydiffraction pattern with a peak at about 6.3, 9.2, 12.7, 13.8, and/or16.1. Also, the powder X-ray diffraction pattern is substantially asshown in FIG. 12B.

In one embodiment, the crystalline rapamycin analog has a powder X-raydiffraction pattern with a peak at about 5.4, 6.0, 8.8, 10.0, 12.1,14.1, 17.6, 18.4, and/or 19.0. Also, the powder X-ray diffractionpattern is substantially as shown in FIG. 13A.

In one embodiment, the crystalline rapamycin analog has a powder X-raydiffraction pattern with a peak at about 6.2, 9.1, 10.5, 12.5, 14.3,16.5, 18.0, 20.1, 21.8, and/or 22.2. Also, the powder X-ray di.Tiactionpattern is substantially as shown in FIG. 13B.

In one embodiment, the crystalline rapamycin analog has a powder X-raydiffraction pattern with a peak at about 5.4, 10.8, 11.8, 16.9, and/or17.9. Also, the powder X-ray diffraction pattern is substantially asshown in FIG. 16.

In one embodiment, the crystalline rapamycin analog has a powder X-raydiffraction pattern with a peak at about 5.8, 9.6, 11.7, 13.6, 15.9,17.4, 20.6, and/or 23.5. Also, the powder X-ray diffraction pattern issubstantially as shown in FIG. 18A.

In one embodiment, the crystalline rapamycin analog has a powder X-raydiffraction pattern with a peak at about 6.4, 6.8, 9.3, 13.8, and/or16.8. Also, the powder X-ray diffraction pattern is substantially asshown in FIG. 18B.

In one embodiment, the crystalline rapamycin analog has a powder X-raydiffraction pattern with a peak at about 5.2, 10.5, 13.3, 15.8, 16.5,and/or 19.1. Also, the powder X-ray diffraction pattern is substantiallyas shown in FIG. 14A.

In one embodiment, the crystalline rapamycin analog has a powder X-raydiffraction pattern with a peak at about 6.6, 7.1, 8.6, 9.1, 12.6, 14.5,and/or 15.0. Also, the powder X-ray diffraction pattern is substantiallyas shown in FIG. 14B.

In one embodiment, the crystalline rapamycin analog has a powder X-raydiffraction pattern with a peak at about 5.2, 10.5, 10.8, 15.7, 16.5,and/or 19.0. Also, the powder X-ray diffraction pattern is substantiallyas shown in FIG. 17A.

In one embodiment, the crystalline rapamycin analog has a powder X-raydiffraction pattern with a peak at about 5.5, 6.1, 8.0, 10.5, 12.6,13.6, 16.6, and/or 19.5. Also, the powder X-ray diffraction pattern issubstantially as shown in FIG. 17B,

In one embodiment, the crystalline rapamycin analog has a powder X-raydiffraction pattern with a peak at about 5.3, 10.5, 13.3, 15.8, and/or16.6. Also, the powder X-ray diffraction pattern is substantially asshown in FIG. 19A.

In one embodiment, the crystalline rapamycin analog has a powder X-raydiffraction pattern with a peak at about 6.3, 8.1, 12.7 and/or 16.5.Also, the powder X-ray diffraction pattern is substantially as shown inFIG. 19B.

In one embodiment, the crystalline rapamycin analog has a powder X-raydiffraction pattern with a peak at about 5.1, 10.2, 16.3, 17.1, 19.2,20.1, and/or 20.5. Also, the powder X-ray diffraction pattern issubstantially as shown in FIG. 15A.

In one embodiment, the crystalline rapamycin analog has a powder X-raydiffraction pattern with a peak at about 5.1, 6.2, 10.2, 12.4, 16.4,and/or 17.2. Also, the powder X-ray diffraction pattern is substantiallyas shown in FIG. 15B.

In one embodiment, the crystalline rapamycin analog has a powder X-raydiffraction pattern with a peak at about 4.6, 5.2, 9.3, 16.5, 17.0,and/or 18.6. Also, the powder X-ray diffraction pattern is substantiallyas shown in FIG. 20A.

In one embodiment, the crystalline rapamycin analog has a powder X-raydiffraction pattern with a peak at about 3.8, 6.0, 9.2, 9.9, 11.8, 12.4,and/or 13.7. Also, the powder X-ray diffraction pattern is substantiallyas shown in FIG. 20B.

In one embodiment, the crystalline rapamycin analog has a powder X-raydiffraction pattern with a peak at about 5.3, 10.1, 10.5, 15.8, 16.5,19.1, 19.6, and/or 21.1. Also, the powder X-ray diffraction pattern issubstantially as shown in FIG. 21A.

In one embodiment, the crystalline rapamycin analog has a powder X-raydiffraction pattern with a peak at about 6.6, 7.1, 9.2, 14.6, and/or15.2. Also, the powder X-ray diffraction pattern is substantially asshown in FIG. 21B.

As with all types of instrumentation, the type of equipment andoperating conditions can affect data. As such, the powder X-raydiffraction data can be slightly altered depending on the equipment andconditions. Accordingly, the powder X-ray diffraction data can beaccurate to within 0.5, more preferably, 0.2, and most preferably toabout 0.1. Also, characterization of the crystal structures can includeat least 2 peaks, 3 peaks, 4 peaks, 5 peaks, 6 peaks, 7 peaks, 8 peaks,9 peaks, and/or 10 peaks depending on the powder x-ray diffractionpattern.

Also, the powder X-ray diffraction patterns were measured using copper-Kalpha-one (Cu Kα1) radiation at about 1.54056 Å. Also, powder X-raydiffraction patterns can be measured with. Also, Cu Kα1 and Cu Kα1radiation can be used with a wavelength of 1.54178 Å, which is forunresolved.

Single crystal units can be measured with a graphite monochromator, butwithout a foil filter. The wavelength can be 0.71073 Å for a singlecrystal. Also, 0.71703 Å can be used for unresolved Mo radiation or0.70930 Å for exclusively Kα1.

In one embodiment, the crystalline rapamycin analog is present at atherapeutically effective amount.

III. Preparing Crystalline Rapamycin Analogs

Crystalline rapamycin analogs can be prepared by the methods describedherein. As such, various common parameters can be controlled to promotecrystallization. Such common processing parameters include, but are notlimited to, adjusting the temperature; adjusting the time; adjusting thepH; adjusting the amount or the concentration of thecompound-of-interest; adjusting the amount or the concentration of acomponent; component identity (e.g., adding one or more additionalcomponents); adjusting the solvent removal rate; introducing of anucleation event; introducing of a precipitation event; controllingevaporation of the solvent (e.g. adjusting a value of pressure oradjusting the evaporative surface area); and adjusting the solventcomposition. Other crystallization methods include sublimation, vapordiffusion, desolvation of crystalline solvates, and grinding (Guillory,J. K., Polymorphism in Pharmaceutical Solids, 186, 1999).

In one embodiment, the crystallization of the rapamycin analog can beconducted by modulating the temperature or cycling the temperature toinduce crystallization. As such, the crystallization processes includedissolving the rapamycin analog into one or more solvents that may ormay not include one or more antisolvents. Solubility is commonlycontrolled by the composition (e.g., identity of components) and/or bythe temperature. Temperature control is most common in industrialcrystallizers where a solution of a substance is cooled from a state inwhich it is freely soluble to one where the solubility is exceeded,thereby being supersaturated. For example, the crystalline rapamycinanalogs can be prepared by heating to a temperature (T1), preferably toa temperature at which the all the solids are completely dissolved insolution. The composition is then cooled to a lower temperature (T2).The presence of solids can then be determined. A temperature sensor canbe used to record the temperature when the first crystal or precipitateis detected.

In one embodiment, a large number or array of rapainycin analogcompositions can be processed individually at the same time with respectto temperature and small heaters, cooling coils, and temperature sensorsfor each sample are provided and controlled. This approach is useful ifeach sample has the same composition and the experiment is designed tosample a large number of temperature profiles to find those profilesthat produce desired solid-forms. In one embodiment, the composition ofeach sample is controlled and the entire array of compositions is heatedand cooled as a unit.

Typically, several distinct temperatures and/or temperature profiles aretested during crystal nucleation and growth phases. Temperature can becontrolled in either a static or dynamic manner. Static temperaturemeans that a set incubation temperature is used throughout thecrystallization. Alternatively, a temperature gradient can be used. Forexample, the temperature can be lowered at a certain rate throughout thecrystallization. Furthermore, temperature can be controlled in a way asto have both static and dynamic components. For example, a constanttemperature (e.g., 60 degrees Celsius) is maintained during the mixingof crystallization reagents. After mixing of reagents is complete,controlled temperature decline is initiated (e.g., 60 degrees Celsius toabout 25 degrees Celsius over minutes).

In one embodiment, the crystallization of the rapamycin analog can beconducted by modulating the time of incubating the composition to inducecrystallization. Accordingly, different rapamycin analog compositionscan be incubated for various lengths of time (e.g., 5 minutes, 60minutes, 48 hours, etc.) to induce and complete crystallization. Sincephase changes can be time dependent, it can be advantageous to monitorcrystallization of the rapamycin analog as a function of time.

In many cases, time control is very important, for example, the firstsolid-form to crystallize may not be the most stable, but rather ametastable form which can then convert to a form stable over a period oftime. This process is called “ageing.” Ageing also can be associatedwith changes in crystal size and/or habit. This type of ageing phenomenais called Ostwald ripening. Thus, incubating the crystallizationcomposition for different time periods can be used to inducecrystallization as well as promote crystallization into the desiredcrystal product.

In one embodiment, the crystallization of the rapamycin analog can beconducted by modulating the pH of the composition to induce or promotecrystallization. The pH of the rapamycin analog composition candetermine the physical state and properties of the crystal that isgenerated. The pH can be controlled by the addition of inorganic andorganic acids and bases, such as well known buffers that are standardsin the art. The pH of samples can be monitored with standard pH metersmodified according to the volume of the sample.

In one embodiment, the crystallization of the rapamycin analog can beconducted by modulating the concentration of the rapamycin analog in thecomposition to induce or promote crystallization. Supersaturation is thethermodynamic driving force for both crystal nucleation and growth, andthus is a key variable in preparing crystalline rapamycin analogs.Supersaturation is the deviation from thermodynamic solubilityequilibrium so that more solute (e.g., rapamycin analog) is suspended inthe solution. Thus the degree of saturation can be controlled bytemperature and the amounts or concentrations of the rapamycin analogand other components, such as adducts. In general, the degree ofsaturation can be controlled in the metastable region, and when themetastable limit has been exceeded, nucleation will be induced.

The amount or concentration of the rapannycin analog and/or othercomponents can greatly affect physical state and properties of theresulting solid-form. As such, for a given temperature, nucleation andgrowth will occur at varying amounts of supersaturation depending on thecomposition of the starting solution. Nucleation and growth rateincreases with increasing saturation, which can affect crystal habit.For example, rapid growth must accommodate the release of the heat ofcrystallization. This heat effect is responsible for the formation ofdendrites during crystallization. The macroscopic shape of the crystalis profoundly affected by the presence of dendrites and even secondarydendrites.

The second effect that the relative amounts rapamycin analog and solventhas is the chemical composition of the resulting solid-form. Forexample, the first crystal to be formed from a concentrated solution isformed at a higher temperature than that formed from a dilute solution.The equilibrium solid phase is that from a higher temperature in thephase diagram, and a concentrated solution may first form crystals ofthe hemihydrate when precipitated from aqueous solution at hightemperature. The dihydrate may, however, be the first to form whenstarting with a dilute solution. In this case, the rapamycinanalog/solvent phase diagram is one in which the dihydrate decomposes tothe hemihydrate at a high temperature. This is normally the case andusually holds for commonly observed solvates.

In one embodiment, the crystallization of the rapamycin analog can beconducted by modulating the identity of components in the composition,such as solvents and/or adducts, to induce or promote crystallization.The identity of the components in the composition can have a profoundeffect on almost all aspects of crystallization. Component identity canpromote or inhibit crystal nucleation and growth as well as the physicalstate and properties of the resulting crystals. Thus, a component can bea substance whose intended effect is to induce, inhibit, prevent, orreverse formation of crystalline forms of the rapamycin analog.

A component can direct formation of crystals, amorphous-solids,hydrates, solvates, or salt forms of the rapamycin analog. Componentsalso can affect the internal and external structure of the crystalsformed, such as the polymorphic form and the crystal habit. Examples ofcomponents include, but are not limited to, excipients, solvents, salts,acids, bases, gases; small molecules, such as hormones, steroids,nucleotides, nucleosides, and amino acids; large molecules, such asoligonucleotides, polynucleotides, oligonucleotide and polynucleotideconjugates, proteins, peptides, peptidomimetics, and polysaccharides;other pharmaceuticals; crystallization additives, such as additives thatpromote and/or control nucleation, additives that affect crystal habit,and additives that affect polymorphic form; additives that affectparticle or crystal size; additives that structurally stabilizecrystalline or amorphous solid-forms; additives that dissolvesolid-forms; additives that inhibit crystallization or solid formation;optically-active solvents; optically-active reagents; andoptically-active catalysts.

In one embodiment, the crystallization of the rapamycin analog can beconducted by modulating the solvent removal rate and/or antisolventremoval rate to induce or promote crystallization. Control of solventremoval is intertwined with control of saturation. As the solvent isremoved, the concentration of the rapamycin analog and less volatilecomponents becomes higher. Depending on the remaining composition, thedegree of saturation will change depending on factors, such as thepolarity and viscosity of the remaining composition. For example, as asolvent is removed, the concentration of the rapamycin analog can riseuntil the metastable limit is reached and nucleation and crystal growthoccur.

The rate of solvent removal can be controlled by temperature andpressure and the surface area under which evaporation can occur. Forexample, solvent can be removed by distillation at a predefinedtemperature and pressure, or the solvent can be removed simply byallowing the solvent to evaporate at room temperature. In someinstances, solvent absorbents can be used.

In one embodiment, the crystallization of the rapamycin analog can beconducted by introducing a nucleation or precipitation event. Ingeneral, this involves subjecting a supersaturated rapamycin analogsolution to some form of energy, such as ultrasound or mechanicalstimulation, or by inducing supersaturation by adding additionalcomponents.

Crystal nucleation is the formation of a crystal solid phase from aliquid, an amorphous phase, a gas, or from a different crystal solidphase. Nucleation sets the character of the crystallization process andis therefore one of the most critical components in designing commercialcrystallization processes (The Encyclopedia of Chemical Technology, 7Kirk-Othomer (4th ed. at 692) (1993)).

Primary nucleation can occur by heterogenous or homogeneous mechanisms,both of which involve crystal formation by sequential combining ofcrystal constituents. Primary nucleation does not involve existingcrystals of the rapamycin analog, but results from spontaneous formationof crystals. Primary nucleation can be induced by increasing thesaturation over the metastable limit or, when the degree of saturationis below the metastable limit by nucleation. Nucleation events includemechanical stimulation, such as contact of the crystallization mediumwith the stirring rotor of a crystallizer and exposure to sources ofenergy, such as acoustic (ultrasound), electrical, or laser energy(Garetz et al., 1996 Physical review Letters 77:3475). Primarynucleation can also be induced by adding primary nucleation promoters,such as substances other than a solid-form of the rapamycin analog.Additives that decrease the surface energy of the rapamycin analog caninduce nucleation. A decrease in surface energy favors nucleation, sincethe barrier to nucleation is caused by the energy increase uponformation of a solid-liquid surface. Thus, nucleation can be controlledby adjusting the interfacial tension of the crystallizing medium byintroducing surfactant-like molecules either by pre-treating thecrystallization chamber or by direct addition. The nucleation effect ofsurfactant molecules is dependent on their concentration and thus thisparameter should be carefully controlled. Such tension adjustingadditives are not limited to surfactants. Many compounds that arerelated to the rapamycin analog can have significant surface activity.Other heterogeneous nucleation inducing additives include solidparticles of various substances, such as solid-phase excipients or evenimpurities left behind during synthesis or processing of the rapamycinanalog.

Secondary nucleation involves treating the crystallizing medium with asecondary nucleation promoter that is a solid-form, preferably a crystalhaving characteristics that are desired for the crystalline rapamycinanalog. A desired small crystal form of the rapamycin analog can be usedas a secondary nucleation promoter. Direct seeding with a plurality ofnucleation seeds of the rapamycin analog in various physical statesprovides a means to induce formation of different crystal forms indifferent compositions. In one embodiment, particles other than therapamycin analog are added to the crystallization compositions. Inanother embodiment, nanometer-sized crystals (e.g., nanoparticles) ofthe rapamycin analog are added to the samples.

Crystalline forms of a rapamycin analog, such as ABT-578 (i.e.,zotarolimus), have been discovered in organic solvents that includeacetone, toluene, acetonitrile, ethyl formate, isopropyl acetate,isobutyl acetate, ethanol, N,N dimethyl formamide, and anisole. Theacetonitrile solvent can be used to crystallize the rapamyeinacetonitrile solvate, which then forms a crystalline desolvate (i.e.,acetonitrile desolvated solvate) upon drying (e.g., appropriate dryingconditions of pressure, temperature and vapor environment) so as toremove the acetonitrile from the crystal. The crystalline acetonitriledesolvated solvate may possess chemical stability properties that allowsthe elimination of addition of BHT as an antioxidant to the amorphousABT-578, as is currently practiced. In addition, the impurity profile ofABT-578 may be improved significantly by incorporating a crystallizationstep in the manufacturing process, as described herein. In some of thepowder X-ray diffraction (PXRD) patterns shown in the figures, two peaksat ˜38 and 44 are from the X-ray holder.

There are various methods of preparing a crystalline rapamycin analog.In an embodiment, a method of preparing crystalline rapamycin analogdrug substance includes, crystallizing rapamycin analog from apharmaceutically acceptable solvent or mixture of solvents. In otherembodiments, a method of preparing crystalline rapamycin analog drugsubstance includes crystallizing rapamycin analog from an organicsolvent or mixture of solvents. Of course, one skilled in the art wouldbe able to appreciate all the solvents that can be utilized withembodiments of the invention and not be limited to listed solventsherein.

In one embodiment, the present invention includes a process forpreparing a crystalline form of a rapamycin analog. Such a processcomprises the following: combining the rapamycin analog with at leastone organic medium to form a mixture; incubating the mixture until therapamycin analog crystallizes; and recovering the crystalline rapamycinanalog from the organic medium.

In one embodiment, the organic medium can be comprised of at least onesolvent to form the mixture. As such, the process for preparing thecrystalline form of the rapamycin analog includes causing the rapamycinanalog to dissolve into the solvent, and incubating the solvent untilthe rapamycin analog crystallizes.

In one embodiment, the process includes forming a slurry of crystallinerapamycin analog in the solution. In one embodiment, the processincludes stirring the rapamycin analog mixture until the rapamycinanalog crystallizes. In one embodiment, the process includes saturatingthe rapamycin analog solution. This can include forming a supersaturatedrapamycin analog solution.

In one embodiment, the process includes the use of an antisolvent to aidin forming the crystalline rapamycin analog. Such a method includescombining at least one antisolvent with the rapamycin analog and thesolvent to form a biphasic mixture, and incubating the biphasic mixtureto cause a liquid-liquid phase split with a majority of the rapamycinanalog being in the solvent and a minority of the rapamycin analog beingin the antisolvent. Optionally, the solvent can be separated from theantisolvent before the crystals are separated out.

In one embodiment, the organic medium is toluene, acetonitrile, ethanol,isobutyl acetate, ethyl formate, isopropyl acetate, ethanol, N,N,dimethyl formamide, and combinations thereof.

In one embodiment, the solvent is an organic solvent. As such, theorganic solvent can be a polar organic solvent. Examples of polarorganic solvents include acetone, ethyl acetate, methanol, ethanol,n-propanol, isopropanol, isobutanol, tertbutanol, 2-butanol,acetronitrile, tetrahydrofuran, isobutyl acetate, n-butyl acetate, ethylformate, n-propyl acetate, isopropyl acetate, methylethyl ketone, or anycombination thereof. Preferably, the polar organic solvent is acetone.Examples of the antisolvent include cyclohexane, heptane, hexane,n-octane, iso-octane, methylcyclohexane, or any combination thereof.Preferably, the antisolvent is heptane. Preferably, the organic mediumis pharmaceutically acceptable for making a pharmaceutical preparation.For example, the organic medium can be a pharmaceutically acceptablesolvent that is acceptable for preparing a pharmaceutical-gradecomposition.

In one embodiment, the rapamycin analog solution (e.g., mixture,biphasic, etc.) is formed, incubated, stirred, mixed, slurried,saturated, and/or crystallized at a temperature from about −20 degreesCelsius to about 20 degrees Celsius, more preferably from about −10degrees Celsius to about 10 degrees Celsius, even more preferably atabout −5 degrees Celsius to about 5 degrees Celsius, and most preferablyat about 0 degrees Celsius.

In one embodiment, the rapamycin analog solution (e.g., mixture,biphasic, etc.) is formed, incubated, stirred, mixed, slurried,saturated, and/or crystallized at a temperature from about 10 degreesCelsius to about 40 degrees Celsius, more preferably from about 12degrees Celsius to about 32 degrees Celsius, even more preferably atabout 20 degrees Celsius to about 25 degrees Celsius, and mostpreferably at about 22 degrees Celsius.

In one embodiment, the raparnycin analog solution (e.g., mixture,biphasic, etc.) is formed, incubated, stirred, mixed, slurried,saturated, and/or crystallized for about 0.1 to about 35 hours, morepreferably from about 1 to about 30 hours, even more preferably fromabout 5 to about 25 hours, still more preferably from about 10 to about20 hours, and most preferably for about 15 hours.

In one embodiment, the rapamycin analog combined with the organic mediumis a crystalline form. For example, the crystalline form of therapamycin analog can be an acetonitrile solvate, acetonitrile desolvatedsolvate (i.e., acetonitrile desolvate). Alternatively, the rapamycinanalog can be in an amorphous state.

In one embodiment, the rapamycin mixture in the organic medium iscombined with a second organic medium, and wherein the mixture that isfurther proccessed (e.g., incubated, stirred, mixed, slurried,saturated, and/or crystallized) includes the second organic medium. Forexample, the first organic medium can be acetonitrile, toluene, ethanol,isobutyl acetate, anisole or combinations thereof. Examples of thesecond organic medium can be ethyl formate, isopropyl acetate, ethanol,N,N, dimethyl formamide, anisole, and combinations thereof.

In one embodiment, a crystalline rapamycin analog in the form of anacetonitrile solvate can be prepared by incubating a biphasic mixture ofdissolved rapamycin analog, acetone and heptane at about 0 degreesCelsius. Accordingly, the rapamycin analog can be added to a vialcontaining acetone and heptane so as to saturate the liquid phase. Aliquid-liquid phase occurs as the rapamycin analog dissolved intosolution resulting in a rapamycin analog-acetone rich bottom phase and aheptane rich top phase. For example, the biphasic mixture can beincubated at about 0 degrees Celsius for about 0.1 to about 10 days orlonger until crystals can be observed at the bottom of the vial. Thecrystals can then be analyzed by powder X-ray diffraction, which isshown by FIG. 2A. The crystals can be equilibrated at ambienttemperature followed by further drying at about 30 degrees Celsius undervacuum (approximately 3 inches of mercury). The dried crystals can beanalyzed by powder X-ray diffraction, which is shown in FIG. 3A.

In one embodiment, a crystalline rapamycin analog in the form of acetonesolvate can be prepared by dissolving amorphous rapamycin analog inacetone at ambient temperature and incubating the resulting solution atabout 5 degrees Celsius until crystalline solids are observed. Thecrystals can be analyzed by powder X-ray diffraction, which is shown inFIG. 2B. The crystals can be equilibrated at ambient temperaturefollowed by further drying at about 30 degrees Celsius under vacuum(approximately 3 inches of mercury). The dried crystals can be analyzedby powder X-ray diffraction, which is shown in FIG. 3B.

In one embodiment, a crystalline rapamycin analog in the form of antoluene solvate can be prepared. As such, crystals of the rapamycinanalog toluene solvate can be prepared by dissolving amorphous rapamycinanalog in toluene to form a solution. The solution can be stirred atabout 22 degrees Celsius for about 15 hours or until a thick slurry ofcrystalline solids can be observed. Also, crystals can be prepared byusing a crystalline rapamycin analog, such as an acetonitrile solvate,to seed the composition and induce crystallization. The crystals canthen be analyzed by powder X-ray diffraction, which is shown by FIG. 4A.

In one embodiment, a crystalline rapamycin analog in the form of anotheracetonitrile solvate can be prepared. As such, crystals of anacetonitrile solvate can be generated by saturating acetonitrile withamorphous rapamycin analog at about 22 degrees Celsius and incubating atabout 0 degrees Celsius for about 2 hours or until crystals form. Thecrystals can then be analyzed by powder X-ray diffraction, which isshown by FIG. 5A. FIG. 6A shows the powder X-ray diffraction patternanalysis data for the rapamycin analog acetonitrile desolvate, which canbe obtained by drying the acetonitrile solvate.

In one embodiment, a crystalline rapamycin analog in the form of anethyl formate solvate can be prepared. As such, crystals of therapamycin analog ethyl formate solvate can be generated by slurrying awetcake of the acetonitrile solvate in ethyl formate at about 0 degreesCelsius. The crystals can then be analyzed by powder X-ray diffraction,which is shown by FIG. 7A.

In one embodiment, a crystalline rapamycin analog in the form of anisopropyl acetate solvate can be prepared. As such, crystals of therapamycin analog isopropyl acetate solvate can be generated by slurryinga wetcake of acetonitrile solvate in isopropyl acetate at about 0degrees Celsius.

In one embodiment, a crystalline rapamycin analog in the form of anisobutyl acetate solvate can be prepared. As such, crystals of therapamycin analog isobutyl acetate can be prepared by adding amorphousrapamycin analog a vial and charging isobutyl acetate into the vial toenable dissolution. The solution can then be incubated at about 0degrees Celsius for about 16 hours or until a crystalline slurry isobtained. The crystals can then be analyzed by powder X-ray diffraction,which is shown by FIG. 9A.

In one embodiment, a crystalline rapamycin analog in the form of anethanol solvate can be prepared. As such, crystals of the rapamycinanalog ethanol solvate can be prepared by adding amorphous rapamycinanalog to in a vial and charging ethanol (200 proof) into the vial toenable dissolution, The solution can be seeded after about 15 hours withan acetonitrile desolvate, and then incubated at about 0 degrees Celsiusfor an additional about 16 hours until a crystalline slurry is obtained,

In one embodiment, a crystalline rapamycin analog in the form of an N,N,dimethyl formamide solvate can be prepared. As such, crystals of therapamycin analog N,N dimethyl formamide solvate can be generated byslurrying a wetcake of acetonitrile solvate in N,N Dimethyl formamide atabout 0 degrees Celsius. The crystals can then be analyzed by powderX-ray diffraction, which is shown by FIG. 10A.

In one embodiment, a crystalline rapamycin analog in the form of ananisole solvate can be prepared. As such, crystals of the rapamycinanalog anisole solvate can be generated by slurrying a wetcake ofacetonitrile solvate in anisole at about 0 degrees Celsius. The crystalscan then be analyzed by powder X-ray diffraction, which is shown by FIG.11A.

IV. Crystalline Rapamycin Analog Compositions

The crystalline rapamycin analog of the present invention can beprepared into any pharmaceutical composition, such as the compositionscommonly employed with amorphous rapamycin analogs. Accordingly, thecrystalline rapamycin analog can be formulated into a polymericcomposition, such as a stent coating or the like. The polymericcomposition can include polymers that are hydrophilic, hydrophobic,biodegradable, non-biodegradable, and any combination thereof. Thepolymer can be selected from the group consisting of polyacrylates,polymethacrylates, polycarboxylic acids, cellulosic polymers, gelatin,polyvinylpyrrolidone, maleic anhydride polymers, polyamides, polyvinylalcohols, polyethylene oxides, glycosaminoglycans, polysaccharides,polyesters, polyurethanes, silicones, polyorthoesters, polyanhydrides,polycarbonates, polypropylenes, polylactic acids, polyglycolic acids,polycaprolactones, polyhydroxybutyrate valerates, polyacrylamides,polyethers, and mixtures and copolymers of the foregoing. Also,polymeric dispersions, such as polyurethane dispersions (BAYHYDROL,etc.) and acrylic acid latex dispersions, can also be used.

Biodegradable polymers that can be used include poly(L-lactic acid),poly(DL-lactic acid), polycaprolactone, poly(hydroxy butyrate),polyglycolide, poly(diaxanone), poly(hydroxy valerate), polyorthoester,copolymers, poly(lactide-co-glycolide),polyhydroxy(butyrate-co-valerate), poly glycolide-co-trimethylenecarbonate, polyanhydrides, polyphosphoester, polyphosphoester-urethane,polyamino acids, polycyanoacrylates, biomolecules, fibrin, fibrinogen,cellulose, starch, collagen hyaluronic acid, and any combinationthereof. Biostable polymers can also be used, such as polyurethane,silicones, polyesters, polyolefins, polyamides, polycaprolactam,polyimide, polyvinyl chloride, polyvinyl methyl ether, polyvinylalcohol, acrylic polymers and copolymers, polyacrylonitrile, polystyrenecopolymers of vinyl monomers with olefins (such as styrene acrylonitrilecopolymers, ethylene methyl methacrylate copolymers, ethylene vinylacetate), polyethers, rayons, cellulosics (such as cellulose acetate,cellulose nitrate, cellulose propionate, etc.), parylene and derivativesthereof, and any combination hereof.

Other polymers that can be used include a MPC subunit includingpoly(MPC_(w):LAM_(x):HPMA_(y):TSMA_(z)) where w, x, y, and z representthe molar ratios of monomers used in the feed for preparing the polymerand MPC represents the unit 2-methacryoyloxyethylphosphorylcholine, LMArepresents the unit lauryl methacrylate. HPMA represents the unit2-hydroxypropyl methacrylate, and TSMA represents the unit3-trimethoxysilylpropyl methacrylate.

Additionally, the crystalline rapamycin analogs can be prepared into anypharmaceutical composition. Such pharmaceutical compositions can includea pharmaceutically acceptable carrier or excipient, which may beadministered orally, rectally, parenterally, intracisternally,intravaginally, intraperitoneally, topically (as by powders, ointments,drops or transdermal patch), bucally, as an oral or nasal spray, orlocally, such as in a stent placed within the vasculature. The phrase“pharmaceutically acceptable carrier” refers to a non-toxic solid,semi-solid or liquid filler, diluent, encapsulating material orformulation auxiliary of any type. The term “parenteral” refers to modesof administration which include intravenous, intraarterial,intramuscular, intraperitoneal, intrasternal, subcutaneous andintraarticular injection, infusion, and placement, such as, for example,in vasculature.

The pharmaceutical compositions can include pharmaceutically acceptablesterile aqueous or nonaqueous solutions, dispersions, suspensions oremulsions as well as sterile powders for reconstitution into sterileinjectable solutions or dispersions just prior to use. Examples ofsuitable aqueous and nonaqueous carriers, diluents, solvents or vehiclesincluding water, ethanol, polyols (e.g., glycerol, propylene glycol,polyethylene glycol, and the like), carboxymethylcellulose and suitablemixtures thereof, vegetable oils (such as olive oil), and injectableorganic esters such as ethyl oleate. Proper fluidity can be maintained,for example, by the use of coating materials such as lecithin, by themaintenance of the required particle size in the case of dispersions,and by the use of surfactants.

The pharmaceutical compositions may also contain adjuvants such aspreservatives, wetting agents, emulsifying agents, and dispersingagents. Prevention of the action of microorganisms may be ensured by theinclusion of various antibacterial and antifungal agents, for example,paraben, chlorobutanol, phenol sorbic acid, and the like. It may also bedesirable to include isotonic agents such as sugars, sodium chloride,and the like. Prolonged absorption of the injectable pharmaceutical formmay be brought about by the inclusion of agents that delay absorptionsuch as aluminum monostearate and gelatin.

In some cases, in order to prolong the effect of the crystallinerapamycin analog, it is desirable to slow the absorption of thecrystalline rapamycin analog from subcutaneous or intramuscularinjection. This may be accomplished by the use of a liquid suspension ofcrystalline or amorphous material with poor water solubility. The rateof absorption of the crystalline rapamycin analog then depends upon itsrate of dissolution which, in turn, may depend upon crystal size andcrystalline form. Alternatively, delayed absorption of a parenterallyadministered drug form is accomplished by dissolving or suspending thedrug in an oil vehicle.

Injectable depot forms are made by forming microencapsule matrices ofthe drug in biodegradable polymers such as polylactide-polyglycolide.Depending upon the ratio of drug to polymer and the nature of theparticular polymer employed, the rate of drug release can be controlled.Examples of other biodegradable polymers include poly(orthoesters) andpoly(anhydrides). Depot injectable formulations are also prepared byentrapping the drug in liposomes or microemulsions which are compatiblewith body tissues.

The injectable formulations can be sterilized, for example, byfiltration through a bacterial-retaining filter, or by incorporatingsterilizing agents in the form of sterile solid compositions which canbe dissolved or dispersed in sterile water or other sterile injectablemedium just prior to use.

Solid dosage forms for oral administration include capsules, tablets,pills, powders, and granules. In such solid dosage forms, thecrystalline rapamycin analog is mixed with at least one inert,pharmaceutically acceptable excipient or carrier such as sodium citrateor dicalcium phosphate and/or (a) fillers or extenders such as starches,lactose, sucrose, glucose, mannitol, and silicic acid, (b) binders suchas, for example, carboxymethylcellulose, alginates, gelatin,polyvinylpyrrolidone, sucrose, and acacia, (c) humectants such asglycerol, (d) disintegrating agents such as agar-agar, calciumcarbonate, potato or tapioca starch, alginic acid, certain silicates andsodium carbonate, (e) solution retarding agents such as paraffin, (f)absorption accelerators such as quaternary ammonium compounds, (g)wetting agents such as, for example, cetyl alcohol and glycerolmonostearate, (h) absorbents such as kaolin and bentonite clay, and (i)lubricants such as talc, calcium stearate, magnesium stearate, solidpolyethylene glycols, sodium lauryl sulfate, and mixtures thereof. Inthe case of capsules, tablets and pills, the dosage form may alsocomprise buffering agents.

Solid compositions of a similar type may also be employed as fillers insoft, semi-solid and hard-filled gelatin capsules or liquid-filledcapsules using such excipients as lactose or milk sugar as well as highmolecular weight polyethylene glycols and the like.

The solid dosage forms of tablets, dragees, capsules, pills, andgranules can be prepared with coatings and shells such as entericcoatings and other coatings well known in the pharmaceutical formulatingart. They may optionally contain opacifying agents and can also be of acomposition that they release the active ingredient(s) only, orpreferentially, in a certain part of the intestinal tract, optionally,in a delayed manner. Examples of embedding compositions that can be usedinclude polymeric substances and waxes. Those embedding compositionscontaining a drug can be placed on medical devices, such as stents,grafts, catheters, and balloons. The crystalline rapamycin analog canalso be in micro-encapsulated form, if appropriate, with one or more ofthe above-mentioned excipients.

Liquid dosage forms for oral administration include pharmaceuticallyacceptable emulsions, solutions, suspensions, syrups and elixirs. Inaddition to the crystalline rapamycin analog, the liquid dosage formsmay contain inert diluents commonly used in the art such as, forexample, water or other solvents, solubilizing agents and emulsifierssuch as ethyl alcohol, isopropyl alcohol, ethyl carbonate, ethylacetate, benzyl alcohol, benzyl benzoate, propylene glycol, 1,3-butyleneglycol, dimethyl formamide, oils (in particular, cottonseed, groundnut,corn, germ, olive, castor, and sesame oils), glycerol,tetrahydrofurfuryl alcohol, polyethylene glycols and fatty acid estersof sorbitan, and mixtures thereof. Besides inert diluents, the oralcompositions can also include adjuvants such as wetting agents,emulsifying and suspending agents, sweetening, flavoring, and perfumingagents.

Suspensions, in addition to the active compounds, may contain suspendingagents as, for example, ethoxylated isostearyl alcohols, polyoxyethylenesorbitol and sorbitan esters, microcrystalline cellulose, aluminummetahydroxide, bentonite, agar-agar, and tragacanth, and mixturesthereof.

Topical administration includes administration to the skin or mucosa,including surfaces of the lung and eye. Compositions for topicaladministration, including those for inhalation, may be prepared as a drypowder which may be pressurized or non-pressurized. In non-pressurizedpowder compositions, the active ingredient in finely divided form may beused in admixture with a larger-sized pharmaceutically acceptable inertcarrier comprising particles having a size, for example, of up to 100micrometers in diameter. Suitable inert carriers include sugars such aslactose. Desirably, at least 95% by weight of the particles of theactive ingredient have an effective particle size in the range of about0.01 to about 10 micrometers. Compositions for topical use on the skinalso include ointments, creams, lotions, and gels.

Alternatively, the composition may be pressurized and contain acompressed gas, such as nitrogen or a liquified gas propellant. Theliquified propellant medium and indeed the total composition ispreferably such that the active ingredient does not dissolve therein toany substantial extent. The pressurized composition may also contain asurface active agent. The surface active agent may be a liquid or solidnon-ionic surface active agent or may be a solid anionic surface activeagent. It is preferred to use the solid anionic surface active agent inthe form of a sodium salt.

A further form of topical administration is to the eye, as for thetreatment of immune-mediated conditions of the eye such as autoimmunediseases, allergic or inflammatory conditions, and corneal transplants.The crystalline rapamycin analog is delivered in a pharmaceuticallyacceptable ophthalmic vehicle, such that the compound is maintained incontact with the ocular surface for a sufficient time period to allowthe compound to penetrate the corneal and internal regions of the eye,as for example the anterior chamber, posterior chamber, vitreous body,aqueous humor, vitreous humor, cornea, iris/cilary, lens, choroid/retinaand sclera. The pharmaceutically acceptable ophthalmic vehicle may, forexample, be an ointment, vegetable oil or an encapsulating material.

Compositions for rectal or vaginal administration are preferablysuppositories or retention enemas which can be prepared by mixing thecrystalline rapamycin analog with suitable non-irritating excipients orcarriers such as cocoa butter, polyethylene glycol or a suppository waxwhich are solid at room temperature but liquid at body temperature andtherefore melt in the rectum or vaginal cavity and release the activecompound.

Crystalline rapamycin analog can also be administered in the form ofliposomes. As is known in the art, liposomes are generally derived fromphospholipids or other lipid substances. Liposomes are formed by mono-or multi-lamellar hydrated liquid crystals that are dispersed in anaqueous medium. Any non-toxic, physiologically acceptable andmetabolizable lipid capable of forming liposomes can be used. Thepresent compositions in liposome form can contain, in addition to acompound of the present invention, stabilizers, preservatives,excipients, and the like. The preferred lipids are the phospholipids andthe phosphatidyl cholines (lecithins), both natural and synthetic.Methods to form liposomes are known in the art. (See, Prescott. Ed.,Methods in Cell Biology, Volume XIV, Academic Press, New York, N.Y.(1976), p. 33 et seq.)

The crystalline rapamycin analog can be applied to stents that have beencoated with a polymeric compound. Incorporation of the compound or druginto the polymeric coating of the stent can be carried out by dippingthe polymer-coated stent into a solution containing the compound or drugfor a sufficient period of time (such as, for example, five minutes) andthen drying the coated stent, preferably by means of air drying for asufficient period of time (such as, for example, 30 minutes). Thepolymer-coated stem containing the compound or drug can then bedelivered to the coronary vessel by deployment from a balloon catheter.In addition to stents, other devices that can be used to introduce thedrugs of this invention to the vasculature include, but are not limitedto grafts, catheters, and balloons. In addition, other compounds ordrugs that can be used in lieu of the drugs of this invention include,but are not limited to, A-94507 and SDZ RAD (a.k.a. Everolimus).

The crystalline rapamycin analog can be used in combination with otherpharmacological agents. The pharmacologic agents that can be effectivein preventing restenosis can be classified into the categories ofanti-proliferative agents, anti-platelet agents, anti-inflammatoryagents, anti-thrombotic agents, and thrombolytic agents. These classescan be further sub-divided. For example, anti-proliferative agents canbe anti-mitotic. Anti-mitotic agents inhibit or affect cell division,whereby processes normally involved in cell division do not take place.One sub-class of anti-mitotic agents includes vinca alkaloids.Representative examples of vinca alkaloids include, but are not limitedto, vincristine, paclitaxel, etoposide, nocodazole, indirubin, andanthracycline derivatives, such as, for example, daunorubicin,daunomycin, and plicamycin. Other sub-classes of anti-mitotic agentsinclude anti-mitotic alkylating agents, such as, for example,tauromustin, bofumustine, and fotemustine, and anti-mitotic metabolites,such as, for example, methotrexate, fluorouracil, 5-bromodeoxyuridine,6-azacytidine, and cytarabine. Anti-mitotic alkylating agents affectcell division by covalently modifying DNA, RNA, or proteins, therebyinhibiting DNA replication, RNA transcription, RNA translation, proteinsynthesis, or combinations of the foregoing.

Anti-platelet agents are therapeutic entities that act by (1) inhibitingadhesion of platelets to a surface, typically a thrombogenic surface,(2) inhibiting aggregation of platelets, (3) inhibiting activation ofplatelets, or (4) combinations of the foregoing. Activation of plateletsis a process whereby platelets are converted from a quiescent, restingstate to one in which platelets undergo a number of morphologic changesinduced by contact with a thrombogenic surface. These changes includechanges in the shape of the platelets, accompanied by the formation ofpseudopods, binding to membrane receptors, and secretion of smallmolecules and proteins, such as, for example, ADP and platelet factor 4.Anti-platelet agents that act as inhibitors of adhesion of plateletsinclude, but are not limited to, eptifibatide, tirofiban, RGD(Arg-Gly-Asp)-based peptides that inhibit binding to gpIIbIIIa or ανβ3,antibodies that block binding to gpIIbIIIa or ανβ3, anti-P-selectinantibodies, anti-E-selectin antibodies, compounds that block P-selectinor E-selectin binding to their respective ligands, saratin, and anti-vonWillebrand factor antibodies. Agents that inhibit ADP-mediated plateletaggregation include, but are not limited to, disagregin and cilostazol.

Anti-inflammatory agents can also be used. Examples of these include,but are not limited to, prednisone, dexamethasone, hydrocortisone,estradiol, fluticasone, clobetasol, and non-steroidalanti-inflammatories, such as, for example, acetaminophen, ibuprofen,naproxen, and sulindac. Other examples of these agents include thosethat inhibit binding of cytokines or chemokines to the cognate receptorsto inhibit pro-inflammatory signals transduced by the cytokines or thechemokines. Representative examples of these agents include, but are notlimited to, anti-IL1, anti-IL2, anti-IL3, anti-IL4, anti-IL8, anti-IL15,anti-IL18, anti-GM-CSF, and anti-TNF antibodies.

Anti-thrombotic agents include chemical and biological entities that canintervene at any stage in the coagulation pathway. Examples of specificentities include, but are not limited to, small molecules that inhibitthe activity of factor Xa. In addition, heparinoid-type agents that caninhibit both FXa and thrombin, either directly or indirectly, such as,for example, heparin, heparin sulfate, low molecular weight heparins,such as, for example, the compound having the trademark Clivarin®, andsynthetic oligosaccharides, such as, for example, the compound hayingthe trademark Arixtra®. Also included are direct thrombin inhibitors,such as, for example, melagatran, ximelagatran, argatroban, inogatran,and peptidomimetics of binding site of the Phe-Pro-Arg fibrinogensubstrate for thrombin. Another class of anti-thrombotic agents that canbe delivered are factor VII/VIIa inhibitors, such as, for example,anti-factor VII/VIIa antibodies, rNAPc2, and tissue factor pathwayinhibitor (TFPI).

Thrombolytic agents, which may be defined as agents that help degradethrombi (clots), can also be used as adjunctive agents, because theaction of lysing a clot helps to disperse platelets trapped within thefibrin matrix of a thrombus. Representative examples of thrombolyticagents include, but are not limited to, urokinase or recombinanturokinase, pro-urokinase or recombinant pro-urokinase, tissueplasminogen activator or its recombinant form, and streptokinase.

Other drugs that can be used in combination with the crystallinerapamycin analog are cytotoxic drugs, such as, for example, apoptosisinducers, such as TGF, and topoisomerase inhibitors, such as,10-hydroxycamptothecin, irinotecan, and doxorubicin. Other classes ofdrugs that can be used in combination with the crystalline rapamycinanalog are drugs that inhibit cell de-differentiation and cytostaticdrugs. Other agents that can be used in combination with the crystallinerapamycin analog include fenofibrate, batimistat, antagonists of theendothelin-A receptor, such as, for example, darusentan, and antagonistsof the ανβ3 integrin receptor.

Crystalline rapamycin analog may also be coadministered with one or moreimmunosuppressant agents. The immunosuppressant agents within the scopeof this invention include, but are not limited to, IMURAN® azathioprinesodium, brequinar sodium, SPANIDIN® gusperimus trihydrochloride (alsoknown as deoxyspergualin), mizoribine (also known as bredinin),CELLCEPT® mycophenolate mofetil, NEORAL® Cylosporin A (also marketed asdifferent formulation of Cyclosporin A under the trademark SANDIMMUNE®),PROGRAF® tacrolimus (also known as FK-506), sirolimus and RAPAMUNE®leflunomide (also known as HWA-486), glucocorticoids, such asprednisolone and its derivatives, antibody therapies such as orthoclone(OKT3) and Zenapax®, and antithymyocyte globulins, such as thymoglobulins.

V. Crystalline Rapamycin Analog Treatments

The crystalline rapamycin analogs possess immunomodulatory activity inmammals (especially humans). As immunosuppressants, the crystallinerapamycin analogs are useful for the treatment and prevention ofimmune-mediated diseases such as the resistance by transplantation oforgans or tissue such as heart, kidney, liver, medulla ossium, skin,cornea, lung, pancreas, intestinum tenue, limb, muscle, nerves,duodenum, small-bowel, pancreatic-islet-cell, and the like;graft-versus-host diseases brought about by medulla ossiumtransplantation; autoimmune diseases such as rheumatoid arthritis,systemic lupus erythematosus, Hashimoto's thyroiditis, multiplesclerosis, myasthenia gravis, Type I diabetes, uveitis, allergicencephalomyelitis, glomerulonephritis, and the like. Further usesinclude the treatment and prophylaxis of inflammatory andhyperproliferative skin diseases and cutaneous manifestations ofimmunologically-mediated illnesses, such as psoriasis, atopicdermatitis, contact dermatitis and further eczematous dermatitises,seborrhoeis dermatitis, lichen planus, pemphigus, bullous pemphigoid,epidermolysis bullosa, urticaria, angioedemas, vasculitides, erythemas,cutaneous eosinophilias, lupus erythematosus, acne, and alopecia greata;various eye diseases (autoimmune and otherwise) such askeratoconjunctivitis, vernal conjunctivitis, uveitis associated withBehcet's disease, keratitis, herpetic keratitis, conical cornea,dystrophia epithelialis corneae, corneal leukoma, and ocular pemphigus.In addition reversible obstructive airway disease, which includesconditions such as asthma (for example, bronchial asthma, allergicasthma, intrinsic asthma, extrinsic asthma, and dust asthma),particularly chronic or inveterate asthma (for example, late asthma andairway hyper-responsiveness), bronchitis, allergic rhinitis, and thelike are targeted by the crystalline rapamycin analogs. Inflammation ofmucosa and blood vessels such as gastric ulcers, vascular damage causedby ischemic diseases, and thrombosis. Moreover, hyperproliferativevascular diseases such as intimal smooth muscle cell hyperplasia,restenosis and vascular occlusion, particularly following biologically-or mechanically-mediated vascular injury, could be treated or preventedby the crystalline rapamycin analogs.

Other treatable conditions include but are not limited to ischemic boweldiseases, inflammatory bowel diseases, necrotizing enterocolitis,intestinal inflammations/allergies such as Coeliac diseases, proctitis,eosinophilic gastroenteritis, mastocytosis, Crohn's disease, andulcerative colitis; nervous diseases such as multiple myositis,Guillain-Barre syndrome, Meniere's disease, polyneuritis, multipleneuritis, mononeuritis, and radiculopathy; endocrine diseases such ashyperthyroidism and Basedow's disease; hematic diseases such as pure redcell aplasia, aplastic anemia, hypoplastic anemia, idiopathicthrombocytopenic purpura, autoimmune hemolytic anemia, agranulocytosis,pernicious anemia, megaloblastic anemia, and anerythroplasia; bonediseases such as osteoporosis; respiratory diseases such as sarcoidosis,fibroid lung and idiopathic interstitial pneumonia; skin disease such asdermatomyositis, leukoderma vulgaris, ichthyosis vulgaris, photoallergicsensitivity, and cutaneous T cell lymphoma; circulatory diseases such asarteriosclerosis, atherosclerosis, aortitis syndrome, polyarteritisnodosa, and myocardosis; collagen diseases such as scleroderma,Wegener's granuloma and Sjogren's syndrome; adiposis; eosinophilicfasciitis; periodontal disease such as lesions of gingiva, periodontium,alveolar bone, and substantia ossea dentis; nephrotic syndrome such asglornerulonephritis; male pattern aleopecia or alopecia senilis bypreventing epilation or providing hair germination and/or promoting hairgeneration, and hair growth; muscular dystrophy; Pyoderma and Sezary'ssyndrome; Addison's disease; active oxygen-mediated diseases, as forexample organ injury such as ischemia-reperfusion injury of organs (suchas heart, liver, kidney and digestive tract) which occurs uponpreservation, transplantation or ischemic disease (for example,thrombosis and cardiac infarction); intestinal diseases such asendotoxin-shock, pseudomembranous colitis and colitis caused by drug orradiation; renal diseases such as ischemic acute renal insufficiency andchronic renal insufficiency; pulmonary diseases such as toxinosis causedby lung-oxygen or drug (for example, paracort and bleomycins), lungcancer and pulmonary emphysema; ocular diseases such as cataracta,siderosis, retinitis, pigmentosa, senile macular degeneration, vitrealscarring, and corneal alkali burn; dermatitis such as erythemamultiforme, linear IgA ballous dermatitis and cement dermatitis; andothers such as gingivitis, periodontitis, sepsis, pancreatitis, diseasescaused by environmental pollution (for example, air pollution), aging,carcinogenesis, metastasis of carcinoma, and hypobaropathy; diseasescaused by histamine or leukotriene-C₄ release; Behcet's disease such asintestinal-, vasculo- or neuro-Behcet's disease, and also Behcet's whichaffects the oral cavity, skin, eye, vulva, articulation, epididymis,lung, kidney, and so on.

Furthermore, the crystalline rapamycin analogs are useful for thetreatment and prevention of hepatic disease such as immunogenic diseases(for example, chronic autoimmune liver diseases such as autoimmunehepatitis, primary biliary cirrhosis and sclerosing cholangitis),partial liver resection, acute liver necrosis (e.g., necrosis caused bytoxin, viral hepatitis, shock or anoxia), B-virus hepatitis, non-A/non-Bhepatitis, cirrhosis (such as alcoholic cirrhosis) and hepatic failuresuch as fulminant hepatic failure, late-onset hepatic failure and“acute-on-chronic” liver failure (acute liver failure on chronic liverdiseases), and moreover are useful for various diseases because of theiruseful activity such as augmention of chemotherapeutic effect,cytomegalovirus infection, particularly HCMV infection,anti-inflammatory activity, sclerosing and fibrotic diseases such asnephrosis, scleroderma, pulmonary fibrosis, arteriosclerosis, congestiveheart failure, ventricular hypertrophy, post-surgical adhesions andscarring, stroke, myocardial infarction and injury associated withischemia and reperfusion, and the like.

Additionally, crystalline rapamycin analogs possess FK-506 antagonisticproperties. The crystalline rapamycin analogs may thus be used in thetreatment of immunodepression or a disorder involving immunodepression.Examples of disorders involving immunodepression include AIDS, cancer,fungal infections, senile dementia, trauma (including wound healing,surgery and shock), chronic bacterial infection, and certain centralnervous system disorders. The immunodepression to be treated may becaused by an overdose of an immunosuppressive macrocyclic compound, forexample derivatives of 12-(2-cyclohexyl-1-methylvinyl)-13,19,21,27-tetramethyl-11,28-dioxa-4-azatricyclo[22.3.10^(4,9)]octacos-18-ene such as FK-506 or rapamycin. The overdosing of suchmedicants by patients is quite common upon their realizing that theyhave forgotten to take their medication at the prescribed time and canlead to serious side effects.

The ability of the crystalline raparnycin analogs to treat proliferativediseases can be demonstrated according to the methods described inBunchman E T and C A Brookshire, Transplantation Proceed. 23 967-968(1991); Yamagishi, et al., Biochem. Biophys. Res. Comm. 191 840-846(1993); and Shichiri, et al., J. Clin. Invest. 87 1867-1871 (1991).Proliferative diseases include smooth muscle proliferation, systemicsclerosis, cirrhosis of the liver, adult respiratory distress syndrome,idiopathic cardiomyopathy, lupus erythematosus, diabetic retinopathy orother retinopathies, psoriasis, scleroderma, prostatic hyperplasia,cardiac hyperplasia, restenosis following arterial injury or otherpathologic stenosis of blood vessels. In addition, the crystallinerapamycin analogs antagonize cellular responses to several growthfactors, and therefore possess antiangiogenic properties, making themuseful agents to control or reverse the growth of certain tumors, aswell as fibrotic diseases of the lung, liver, and kidney.

Aqueous liquid compositions are particularly useful for the treatmentand prevention of various diseases of the eye such as autoimmunediseases (including, for example, conical cornea, keratitis, dysophiaepithelialis corneae, leukoma. Mooren's ulcer, sclevitis, and Graves'opthalmopathy) and rejection of corneal transplantation.

When used in the above or other treatments, a therapeutically effectiveamount of one of the crystalline rapamycin analogs may be employed inpure form or, where such forms exist, in pharmaceutically acceptablesalt, ester or prodrua form. Alternatively, the crystalline rapamycinanalogs may be administered as a pharmaceutical composition containingthe compound of interest in combination with one or morepharmaceutically acceptable excipients. The phrase “therapeuticallyeffective amount” of the crystalline rapamycin analog means a sufficientamount of the compound to treat disorders, at a reasonable benefit/riskratio applicable to any medical treatment. It will be understood,however, that the total daily usage of the compounds and compositions ofthe present invention will be decided by the attending physician withinthe scope of sound medical judgment. The specific therapeuticallyeffective dose level for any particular patient will depend upon avariety of factors including the disorder being treated and the severityof the disorder; activity of the specific compound employed; thespecific composition employed; the age, body weight, general health,sex, and diet of the patient; the time of administration, route ofadministration, and rate of excretion of the specific compound employed;the duration of the treatment; drugs used in combination or coincidentalwith the specific compound employed; and like factors well known in themedical arts. For example, it is well within the skill of the art tostart doses of the compound at levels lower than required to achieve thedesired therapeutic effect and to gradually increase the dosage untilthe desired effect is achieved.

The total daily dose of the crystalline rapamycin analogs administeredto a human or lower animal may range from about 0.01 to about 10mg/kg/day. For purposes of oral administration, more preferable dosesmay be in the range of from about 0.001 to about 3 mg/kg/day. For thepurposes of local delivery from a stent, the daily dose that a patientwill receive depends on the length of the stent. For example, a 15 mmcoronary stent may contain a drug in an amount ranging from about 1 toabout 120 micrograms and may deliver that drug over a time periodranging from several hours to several weeks. If desired, the effectivedaily dose may be divided into multiple doses for purposes ofadministration; consequently, single dose compositions may contain suchamounts or submultiples thereof to make up the daily dose. Topicaladministration may involve doses ranging from about 0.001 to about 3%mg/kg/day, depending on the site of application.

EXAMPLES Example 1

The rapamycin analogs and processes of the present invention will bebetter understood in connection with the following synthetic schemes andmethods of producing the rapamycin analogs and producing thecrystallized forms of the rapamycin analogs, which illustrate themethods by which the crystalline rapamycin analogs of the presentinvention may be prepared.

The rapamycin analogs of this invention may be prepared by a variety ofsynthetic routes. A representative procedure is shown in FIG. 1. Asshown in FIG. 1, conversion of the C-42 hydroxyl of rapamycin to atrifluoromethanesulfonate or fluorosulfonate leaving group providedStructure A. Displacement of the leaving group with tetrazole in thepresence of a hindered, non-nucleophilic base, such as 2,6-lutidine, or,preferably, diisopropylethyl amine provided Formula 2 and Formula 3,which were separated and purified by flash column chromatography.

The foregoing may be better understood by reference to the followingexamples which illustrate the methods by which the compounds of theinvention may be prepared and are not intended to limit the scope of theinvention as defined in the appended claims.

Example 1A

Rapamycin (7.5 g) was dissolved in DCM (30 g). 2,6-Lutidine (1.76 g) wasadded. The solution was cooled to −30 C in acetonitrile-dry ice bath,and triflic anhydride (2.89 g) was added slowly in 10 minutes. Thereaction mixture was stirred for 20 minutes, and then assayed for thepresence of rapamycin to determine consumption in the reaction.1-H-tetrazole (1.44 g), followed by DIEA (5.29 g) was added. Thereaction mixture was stirred for 6 hours at room temperature, and thendirectly loaded on a silica gel (270 g) column prepared in 1:1THF:n-heptane (v/v). The crude reaction mixture was purified with 1:1THF:n-heptane. The fractions containing product that elute later (N-2isomer elutes first followed by N-1 isomer) were collected andconcentrated. The concentrated solids were dissolved in minimum DCM andloaded on a silica gel column (135 g) packed in 70:30 n-heptane:acetone.The column was eluted with 70:30 n-heptane:acetone, and fractionscontaining pure product, as identified by thin-layer chromatography(TLC), were concentrated.

The purified product was dissolved in t-BME (9 g), and added slowly ton-heptane (36 g) with vigorous stirring at 10+/−10 C. The precipitatedsolids were stirred at 5-10 C for 1 hour, filtered, washed withn-heptane and dried on the funnel with nitrogen. BHT (0.006 g) was addedto the solids. The solids were dissolved in acetone (20 g), passedthrough a filter, and concentrated. The residue was treated with acetonetwice (20 g each) and concentrated each time to dryness. The product wasdried under vacuum for not less than 18 hours at not more than 50 C togive 2.5 g of zotarolimus.

Example 1B

A solution of Example 1A in isopropyl acetate (0.3 mL) was treatedsequentially with diisopropylethylamine (87 uL, 0.5 mmol) and1H-tetrazole (35 mg, 0.5 mmol), and thereafter stirred for 18 hours.This mixture was partitioned between water (10 mL) and ether (10 mL).The organics were washed with brine (10 mL) and dried (Na₂SO4).Concentration of the organics provided a sticky yellow solid which waspurified by chromatography on silica gel (3.5 g, 70-230 mesh) elutingwith hexane (10 mL), hexane:ether (4:1(10 mL), 3:1(10 mL), 2:1(10 mL),1:1(10 mL)), ether (30 mL), hexane:acetone (1:1(30 mL)). One of theisomers was collected in the ether fractions (MS (ESI) m/e 966 (M)-;42-(2-tetrazolyl)-rapamycin (less polar isomer) corresponding to Formula3 of FIG. 1).

Example 1C

Collection of the slower moving band from the chromatography columnusing the hexane:acetone (1:1) mobile phase in Example 1C provided thedesignated compound (MS (ESI) m/e 966 (M)-; 42-(1-tetrazolyl)-rapamycin(more polar isomer) corresponding to Formula 2 of FIG. 1).

Example 2

The immunosuppressant activity of the rapamycin analogs of obtained fromExample 1B and Example 1C was compared to rapamycin and two rapamycinanalogs: 40-epi-N-[2′-pyridone]-rapamycin and40-epi-N-[4′-pyridone]-rapamycin, both disclosed in U.S. Pat. No.5,527,907. The activity was determined using the human mixed lymphocytereaction (MLR) assay described by Kino, T. et al. in TransplantationProceedings, XIX(5):36-39, Suppl. 6 (1987). The results of the assaydemonstrate that the compounds of the invention are effectiveimmunomodulators at nanomolar concentrations, as shown in Table 1.

TABLE 1 Human MLR Example IC ₅₀   ± S.E.M. (nM) Rapamycin 0.91 ± 0.362-pyridone 12.39 ± 5.3   4-pyridone 0.43 ± 0.20 Example 1B 1.70 ± 0.48Example 1C 0.66 ± 0.19

The pharmacokinetic behaviors of the rapamycin analogs of Example 1B andExample IC were characterized following a single 2.5 mg/kg intravenousdose in cynomolgus monkey (n=3 per group). Each compound was prepared as2.5 mg/mL solution in a 20% ethanol:30% propylene glycol:2% cremophorEL:48% dextrose 5% in water vehicle. The 1 mL/kg intravenous dose wasadministered as a slow bolus (˜1-2 minutes) in a saphenous vein of themonkeys. Blood samples were obtained from a femoral artery or vein ofeach animal prior to dosing and 0.1 (IV only), 0.25, 0.5, 1, 1.5, 2, 4,6, 9, 12, 24, and 30 hours after dosing. The EDTA preserved samples werethoroughly mixed and extracted for subsequent analysis.

An aliquot of blood (1.0 mL) was hemolyzed with 20% methanol in water(0.5 ml) containing an internal standard. The hemolyzed samples wereextracted with a mixture of ethyl acetate and hexane (1:1 (v/v), 6.0mL). The organic layer was evaporated to dryness with a stream ofnitrogen at room temperature. Samples were reconstituted inmethanol:water (1:1, 150 μL). The title compounds (50 μL injection) wereseparated from contaminants using reverse phase HPLC with UV detection.Samples were kept cool (4 degrees Celsius) through the run. All samplesfrom each study were analyzed as a single batch on the HPLC.

Area under the curve (AUC) measurements of the rapamycin analogs ofExample 1B, Example 1C, and the internal standard were determined usingthe Sciex MacQuan™ software. Calibration curves were derived from peakarea ratio (parent drug/internal standard) of the spiked blood standardsusing least squares linear regression of the ratio versus thetheoretical concentration. The methods were linear for both compoundsover the range of the standard curve (correlation>0.99) with anestimated quantitation limit of 0.1 ng/mL. The maximum bloodconcentration (C_(MAX)) and the time to reach the maximum bloodconcentration (T_(MAX)) were read directly from the observed bloodconcentrati-time data. The blood concentration data were submitted tomulti-exponential curve fitting using CSTRIP to obtain estimates ofpharmacokinetic parameters. The estimated parameters were furtherdefined using NONLIN84. The area under the blood concentration-timecurve from 0 to t hours (last measurable blood concentration time point)after dosing (AUC_(0-t)) was calculated using the linear trapeziodalrule for the blood-time profiles. The residual area extrapolated toinfinity, determined as the final measured blood concentration (C_(t))divided by the terminal elimination rate constant (β), and added toAUC_(0-t) to produce the total area under the curve (AUC_(0-t)).

As shown in FIG. 2 and Table 1, both the rapamycin analogs of Example 1Band Example 1C had a surprisingly substantially shorter terminalelimination half-life (t_(1/2)) when compared to rapamycin. Thus, onlythe compounds of the invention provide both sufficient efficacy(Table 1) and a shorter terminal half-life (Table 2).

TABLE 2 AUC t _(1/2) Compound ng hr/mL (hours) Rapamycin 6.87 16.72-pyridone 2.55 2.8 4-pyridone 5.59 13.3 Example 1 2.35 5.0 Example 22.38 6.9

Example 3

The purpose of this example was to determine the effects of a rapamycinanalog on neointimal formation in porcine coronary arteries containingstents. This example illustrates that the rapamycin analog A-179578(e.g. ABT-578; corresponding to Formula 2 of FIG. 1), when compoundedand delivered from the Biocompatibles BiodiviYsio PC Coronary stentfavorably affects neointimal hyperplasia and lumen size in porcinecoronary arteries. This finding suggests that such a combination may beof substantial clinical benefit if properly applied in humans bylimiting neointirnal hyperplasia.

The study set forth in this example was designed to assess the abilityof the rapamycin analog A-179578 to reduce neointimal hyperplasia in aporcine coronary stent model. Efficacy of A-179578 in this model wouldsuggest its clinical potential for the limitation and treatment ofcoronary restenosis in stents following percutaneous revascularization.The domestic swine was used because this model appears to yield resultscomparable to other investigations seeking to limit neointimalhyperplasia in human subjects.

The example tested A-179578 eluted from coronary stents placed injuvenile farm pigs, and compared these results with control stents. Thecontrol stents are polymer-coated without drugs. This is important, forthe polymer itself must not stimulate neointimal hyperplasia to asubstantial degree. As the eluted drug disappears, an inflammatoryresponse to the polymer could conceivably result in a late “catch-upphenomenon” where the restenosis process is not stopped, but insteadslowed. This phenomenon would result in restenosis at late dates inhuman subjects.

Stems were implanted in two blood vessels in each pig. Pigs used in thismodel were generally 2-4 months old and weighed 30-40 kg. Two coronarystents were thus implanted in each pig by visually assessing a “normal”stent:artery ratio of 1.1-1.2.

Beginning on the day of the procedure, pigs were given oral aspirin (325mg daily) and continued for the remainder of their course. Generalanesthesia was achieved by means of intramuscular injection followed byintravenous ketamine (30 mg/kg) and xylazine (3 mg/kg). Additionalmedication at the time of induction included atropine (1 mg) andflocillin (1 g) administered intramuscularly. During the stentingprocedure, an intraarterial bolus of 10,000 units of heparin wasadministered.

Arterial access was obtained by cutdown on the right external carotidand placement of an 8F sheath. After the procedure, the animals weremaintained on a normal diet without cholesterol or other specialsupplementation.

The BiodivYsio stent was used with nominal vessel target size of 3.0 mm.Two coronary arteries per pig were assigned at random to deployment ofthe stents. The stent was either a drug eluting stent (polymer plus drugstent) or a stent coated with a polymer only (polymer only stent). Thestents were delivered by means of standard guide catheters and wires.The stent balloons were inflated to appropriate sizes for less than 30seconds.

Each pig had one polymer only stent and one polymer plus drug stentplaced in separate coronary arteries, so that each pig would have onestent for drug and one for control. A sample size of 20 pigs total waschosen to detect a projected difference in neointimal thickness of 0.2mm with a standard deviation of 0.15 mm, at a power of 0.95 and beta0.02.

Animals were euthanized at 28 days for histopathologic examination andquantification. Following removal of the heart from the perfusion pumpsystem, the left atrial appendage was removed for access to the proximalcoronary arteries. Coronary arterial segments with injuries weredissected free of the epicardium. Segments containing lesions wereisolated, thereby allowing sufficient tissue to contain uninvolved bloodvessel at either end. The foregoing segments, each roughly 2.5 cm inlength, were embedded and processed by means of standard plasticembedding techniques. The tissues were subsequently processed andstained with hematoxylin-eosin and elastic-van Gieson techniques.

Low and high power light microscopy were used to make lengthmeasurements in the plane of microscopic view by means of a calibratedreticle and a digital microscopy system connected to a computeremploying calibrated analysis software.

The severity of vessel injury and the neointimal response were measuredby calibrated digital microscopy. The importance of the integrity of theinternal elastic lamina is well-known to those skilled in the art. Ahistopathologic injury score in stented blood vessels has been validatedas being closely related to neointimal thickness. This score is relatedto depth of injury and is as follows: 0 is internal elastic laminaintact; endothelium typically denuded, media compressed but notlacerated; 1 is internal elastic lamina lacerated; media typicallycompressed but not lacerated; 2 is internal elastic lacerated; mediavisibly lacerated; external elastic lamina intact but compressed; and 3is external elastic lamina lacerated: typically large lacerations ofmedia extending through the external elastic lamina; coil wiressometimes residing in adventitia.

This quantitative measurement of injury was assessed for all stent wiresof each stent section. The calibrated digital image was also used tomeasure at each stent wire site the neointimal thickness. Lumen area,area contained with the internal elastic lamina, and area within theexternal elastic lamina were also measured. The neointimal thickness wasmeasured for each strut in a given section than averaged to determinethe neointimal thickness for the section. The mid-stent segment was usedfor measurement, analysis, and comparison. Data were also recorded (andincluded in the data section of this report) for proximal and distalsegments. The data analysis methods for this study did not need to takeinto account variable arterial injury across treatment/control groups,because mild to moderate injury is sensitive enough to detect treatmentdifferences. Paired t-testing was performed to compare variables acrossthe polymer only stents (control group) and polymer plus drug stents(treatment group). No animal died in this study before scheduledtimepoints.

Table 3 shows the pigs and arteries used. In Table 3, LCX means thecircumflex branch of the left coronary artery, LAD means the leftanterior descending coronary artery, and RCA means the right coronaryartery.

TABLE 3 Subject Arteries Used 1 2000-G-693 RCA-Control LCX-Test 22000-G-698 RCA-Test LAD-Control 3 2000-G-702 RCA-Test LAD-Control 42000-G-709 RCA-Control LAD-Test 5 2000-G-306 RCA-Control LAD-Test*LCX-Test 6 2000-G-672 RCA-Test LAD-Control 7 2000-G-712 RCA-ControlLCX-Test 8 2000-G-735 RCA-Control LAD-Test 9 2000-G-736 RCA-ControlLCX-Test 10 2000-G-740 RCA-Test LAD-Control 11 2000-G-742 LAD-Test OM(LCX)-Control 12 2000-G-744 RCA-Test LAD-Control 13 2000-G-748 RCA-TestLAD-Control 14 2000-G-749 RCA-Control LCX-Test 15 2000-G-753 RCA-ControlLAD-Test 16 2000-G-754 RCA-Test LCX-Control 17 2000-G-755 RCA-ControlLAD-Test 18 2000-G-756 RCA-Test LAD-Control 19 2000-G-757 LAD-ControlLCX-Test 20 2000-G-760 LAD-Test LCX-Control

Table 4 shows the summary results for all data for mean injury andneointimal thickness for each stent, including proximal, mid, and distalsegments. Table 4 also shows lumen size, percent stenosis, and arterysize as measured by the internal elastic laminae (IEL) and externalelastic laminae (EEL).

TABLE 4 Summary: All Measures (Distal, Mid, Proximal) prox ref dist reflumen IEL EEL mean injury % Stenosis Neointimal area NIT Control DistalMean 4.46 3.96 4.88 7.66 9.00 0.22 36.10 2.79 0.41 SD 1.20 1.16 1.301.15 1.10 0.26 15.41 1.29 0.17 Control Mid Mean 4.46 3.96 4.94 7.71 9.080.08 36.23 2.77 0.38 SD 1.20 1.16 1.44 1.07 1.15 0.14 14.93 1.20 0.16Control Proximal Mean 4.46 3.96 5.11 7.89 9.30 0.15 35.35 2.78 0.38 SD1.20 1.16 1.38 1.33 1.42 0.22 11.94 1.04 0.12 Test Distal Mean 4.26 3.416.04 7.70 9.01 0.26 22.35 1.66 0.25 SD 1.26 0.96 1.55 1.49 1.47 0.438.58 0.58 0.06 Test Mid Mean 4.26 3.41 6.35 7.75 8.98 0.04 18.71 1.410.22 SD 1.26 0.96 1.29 1.18 1.31 0.07 5.68 0.33 0.05 Test Priximal Mean2.56 2.15 3.31 4.06 4.66 0.19 16.79 1.29 0.18 SD 1.66 1.37 2.39 3.484.15 0.13 9.97 0.80 0.12

There was no statistically significant difference for neointimal area orthickness across proximal, mid, or distal segments within the test group(polymer plus drug stents) or control groups (polymer only stents). Thisobservation is quite consistent with prior studies, and thus allows useof only the mid segment for statistical comparison of test devices(polymer plus drug stems) vs. control devices (polymer only stents).

Table 5 shows the statistical t-test comparisons across test groups andcontrol groups. There was a statistically significant difference inneointimal thickness, neointimal area, lumen size, and percent lumenstenosis, the drug eluting stent being clearly favored. Conversely,there were no statistically significant differences between the testgroup (polymer plus drug stents) and the control group (polymer onlystents) for mean injury score, external elastic laminae, or internalelastic laminae areas.

TABLE 5 Statistical Comparison of Test vs. Control Parameters:Mid-Section Data t-test Statistics Parameter Difference t-test DF StdError Lower 95% Upper 95% p Lumen −1.17 −2.28 38 0.52 −2.21 −0.13 0.029IEL 0.03 0.088 38 0.36 −0.71 0.78 0.93 EEL 0.2 0.499 38 0.39 −0.599 0.990.62 NI Thickness 0.18 5.153 38 0.034 0.106 0.244 <.0001 NI Area 1.213.62 38 0.33 0.53 1.88 0.0008 Mean Injury 0.038 1.137 38 0.033 −0.020.106 0.26 % Stenosis 14.54 2.97 38 4.9 4.61 24.47 0.005

The reference arteries proximal and distal to the stented segments wereobserved, and quantitated. These vessels appeared normal in all cases,uninjured in both the control group (polymer only stents) and the testgroup (polymer plus drug stents). The data of Table 6 show there were nostatistically significant differences in size between the stents in thecontrol group and the stents in the test group.

TABLE 6 Proximal Reference Distal Reference Diameter (mm) Diameter (mm)Control 4.46 ± 1.20 3.96 ± 1.16 (mean ± SD) Test 4.26 ± 1.26 3.41 ± 0.96(mean + SD)

The data suggest that statistically significant differences exist, andthese differences favor the stent that elutes A-179578. The stent ofthis invention results in lower neointimal area, lower neointimalthickness, and greater lumen area. There were no significant differenceswithin the test group (polymer plus drug stents) and the control group(polymer only stents) for neointimal or injury parameters. There were nosignificant differences in artery sizes (including the stent) for thecontrol group compared to the test group. These latter findings suggestno significant difference in the arterial remodeling characteristics ofthe polymeric coating containing the drug.

At most, mild inflammation was found on both the polymer plus drug stentand the polymer only stent. This finding suggests that the polymerexhibits satisfactory biocompatibility, even without drug loading. Otherstudies show that when the drug has completely gone from the polymer,the polymer itself creates enough inflammation to cause neointima. Thisphenomenon may be responsible for the late “catch-up” phenomenon ofclinical late restenosis. Because the polymer in this example did notcause inflammation in the coronary arteries, late problems related tothe polymer after the drug is exhausted are unlikely.

In conclusion, a stent containing the compound A-179578 with a polymershowed a reduction in neointimal hyperplasia in the porcine model whenplaced in a coronary artery.

Example 4

The purpose of this example is to determine the rate of release of theA-179578 (ABT-578) drug from 316L Electropolished Stainless SteelCoupons coated with a biocompatible polymer containing phosphorylcholineside groups.

Rubber septa from lids from HPLC vials were removed from the vials andplaced into glass vials so that the “Teflon” side faced up. These septaserved as supports for the test samples. The test samples were 316L,stainless steel coupons that had been previously coated with abiocompatible polymer containing phosphorylcholine side groups (PCpolymer). Coronary stents are commonly made of 316L stainless steel andcan be coated with the PC polymer to provide a depot site for loadingdrugs. The coated coupons, which serve to simulate stents, were placedonto the septa. By using a glass Hamilton Syringe, a solution ofA-179578 and ethanol (10 μl) was applied to the surface of each coupon.The solution contained A-179578 (30.6 mg) dissolved in 100% ethanol (3.0ml). The syringe was cleaned with ethanol between each application. Thecap to the glass vial was placed on the vial loosely, thereby assuringproper ventilation. The coupon was allowed to dry for a minimum of 1.5hours. Twelve (12) coupons were loaded in this way, six being used todetermine the average amount of drug loaded onto the device and sixbeing used to measure the time needed to release the drug from thedevices.

To determine the total amount of ABT-578 loaded onto a coupon, a couponwas removed from the vial and placed into 50/50 acetonitrile/0.01Mphosphate buffer (pH 6.0, 5.0 ml). The coupon was placed onto a 5210Branson sonicator for one hour. The coupon was then removed from thesolution, and the solution was assayed by HPLC.

The time release studies were performed by immersing and removing theindividual coupons from fresh aliquots (10.0 ml) of 0.01 M phosphatebuffer at a pH of 6.0 at each of the following time intervals; 5, 15, 30and 60 minutes. For the remaining time points of 120, 180, 240, 300, 360minutes, volumes of 5.0 ml of buffer were used. To facilitate mixingduring the drug release phase, the samples were placed onto a Eberbachshaker set at low speed. All solution aliquots were assayed by HPLCafter the testing of the last sample was completed.

The HPLC analysis was performed with a Hewlett Packard series 1100instrument having the following settings: Injection Volume is 100 μl;Acquisition Time is 40 minutes; Flow Rate is 1.0 ml/min; ColumnTemperature is 40 degrees Celsius; Wavelength is 278 nm; Mobile Phase is65% Acetonitrile/35% H₂0; and Column is YMC ODS-A S5 μm, 4.6×250 mm(Part No. Al2052546WT).

The results from the above experiment showed the release data shown inTable 7.

TABLE 7 Percent Standard Time (min.) Release Deviation 0.00 0.00 0.005.00 1.87 1.12 15.00 2.97 1.47 30.00 3.24 1.28 60.00 3.29 1.29 120.003.92 1.28 180.00 4.36 1.33 240.00 4.37 1.35 30.0.00 6.34 2.07 360.007.88 1.01

Example 5

The purpose of this example was to determine the loading and release ofABT-578 from 15 mm BiodivYsio drug delivery stems. To load the stentswith drug, a solution of ABT-578 in ethanol at a concentration of 50mg/ml was prepared and dispensed into twelve vials. Twelve individualpolymer-coated stents were placed on fixtures designed to hold the stentin a vertical position and the stents were immersed vertically in thedrug solution for five minutes. The stents and fixtures were removedfrom the vials and excess drug solution was blotted away by contactingthe stents with an absorbant material. The stents were then allowed todry in air for 30 minutes in an inverted vertical position.

The stents were removed from the fixtures, and each stent was placedinto 50/50 acetonitrile/phosphate buffer (pH 5.1, 2.0 ml) and sonicatedfor one hour. The stems were removed from the solution and solutionswere assayed for concentration of drug, which allowed calculation of theamount of drug originally on the stents. This method was independentlyshown to remove at least 95% of the drug from the stent coating. Onaverage, the stents contained 60 micrograms of drug±20 micrograms.

The drug-loaded stents were placed on the fixtures and placed into 0.01M phosphate buffer (pH=6.0, 1.9 ml) in individual vials. These sampleswere placed onto an Eberbach shaker set at low speed to provideback-and-forth agitation. To avoid approaching drug saturation in thebuffer, the stents were transferred periodically to fresh buffer vialsat the following points: 15, 30, 45, 60, 120, 135, 150, 165, 180, 240,390 minutes. The dissolution buffer vials were assayed by HPLC for thedrug concentration at the end of the drug release period studied. Thedata, represented as % cumulative release of the drug as a function oftime, is shown in tabular form below:

TABLE 8 Time (min) % Cumulative Release of Drug 15 0.3 30 1.1 45 2.1 603.2 120 4.3 135 5.9 150 6.3 165 6.8 180 7.4 240 10.8 390 13.2

Example 6

The purpose of this example was to evaluate the safety and efficacy ofdifferent drug dosages on neointima formation. Drug was delivered fromthe BiodivYsio OC stent (15 mm) coated with AST-578. In-stent neointimaformation was measured at four time intervals; 3 days, 1 month, and 3months in the coronary arteries of adult miniature swine. Forty (40)animals were studied at each time interval (10 animals per dose). Eachanimal received one drug-coated stent and one control stent. The controlstent contained no drug. Table 9 shows the dosing scheme for swineefficacy study.

TABLE 9 Dose group Dose group Dose Group Dose group 1 (μg) 2 (μg) 3 (μg)4 (μg) ABT-578 15 45 150 400 per stent ABT-578 per 1 3 10 27 mm of stent

Potential local tissue toxicity was assessed at all time intervals byexamining histopathologic changes in the stented region, adjacentcoronary segments, perivascular tissue, and subserved myocardium. Themortality, angiographic implant and restudy data, histomorphometry data,and stent site histopathology were studied.

Three-Day Group:

Histopathology in combination with scanning electron microscopy providedinformation regarding the short-term response to the implanted stent.The responses were similar in the control group and all dose groups, andthe responses involved compression of the tunica media withoutremarkable necrosis, an accumulation of thrombus and inflammatory cellsmostly localized to the stent struts, and early evidence of endothelialrecovery and smooth muscle cell invasion of the thin mural thrombi.There were no extensive thrombi or remarkable intramural hemorrhages.The adventitia in some samples displayed either focal or diffuseinflammatory infiltrates, and occasionally there was plugging orcongestion of the vasa vasora. There was no evidence of medial necrosisin any sample.

Scanning electron microscopy showed similar appearance of the luminalsurface three days after the implant of the coronary stent in all dosegroups. The shape of the stent was clearly embedded in a thin layer oftissue. The endothelium was intact between the struts and even over thestruts; a confluent or nearly confluent layer of endothelial-like cellshad covered the luminal surface. There were scattered adherentplatelets, platelet microthrombi, and leukocytes over the stents and onthe intact remnant endothelium in the inter-strut spaces. In arterieswith more severe stent-induced vessel damage, there were moresubstantial mural thrombi, but the extent of endothelial recovery overthe stent struts did not appear retarded, regardless of the dosage ofABT-578.

One-Month Group:

The histomorphometry data for the one-month series indicated asignificant inhibitory effect of locally eluted ABT-578 on neointimaformation in stented coronary arteries of swine. Intima area normalizedto injury score was significantly decreased for dose groups 3 and 4 (10and 27 μg/mm) as compared with the control; there were also trends fordecreases in absolute intima area and intima thickness for both dosegroups 3 and 4 as compared with the control, and a tendency towardsdecreased histologic % stenosis for dose group 3 as compared with thecontrol.

The control stents displayed morphology typical of stents implanted incoronary arteries of Yucatan miniature swine at one month. The tunicamedia was compressed or thinned without necrosis subjacent to profilesof stent struts; there were only occasional inflammatory infiltrates;and the neointima ranged in size from relatively thin to moderatelythin, and were composed of spindle-shaped and stellate cells in anabundant extracellular matrix, with only rare small foci of fibrinoidmaterial around the profiles of the stent struts. The drug-coated stentsshowed similar compression of the tunica media without any substantialnecrosis at any dose; like control devices, there was littleinflammation present. The neointima was notably thinner in dose groups 3and 4, in some cases being composed of only a few layers of cells. Inall dose groups, there were substantial numbers of samples in whichmoderately sized fibrinoid deposits and inspissated thrombi wereobserved in the deep neointima. These were usually associated with thestent struts but sometimes extended between strut profiles. However, inno case was there exposure of thrombus on the luminal surface, as thedeposits were encapsulated within fibrocellular tissue and covered witha flattened layer of periluminal endothelial-like cells.

Scanning electron microscopy confirmed that a confluent layer ofendothelial or endothelial-like cells covered the entire stentedsurface, and there was no difference between drug-coated stents andcontrol stents in terms of adherence of blood elements; leukocytes werepresent in approximately equal numbers in all groups. These findingsdemonstrate that while ABT-578 was associated with decreased neointimaformation and persistent mural thrombi, sufficient vessel wall healingin response to stent injury had occurred within one month after thestent had been implanted. This vessel wall healing had rendered theluminal surface non-reactive for platelet adhesion and thrombusformation, and minimally reactive for leukocyte adherence. Additionally,there was no evidence of vessel wall toxicity even at the highest dose(27 μg/mm), as there was no medial necrosis or stent malapposition.

Three-Month Group:

There were no significant differences between the dose groups for anyhistomorphometric parameters of stented coronary arterial dimension inthe three-month period of the study. However, there were weak trends fordecreases in the two primary variables describing neointima formation;the cross-sectional area and the % area stenosis of the lumen.

The histopathologic appearance of the control stents in the swinecoronary artery samples at three months after the implant appearedsimilar to that of the controls from the one-month group, and similar tothose of all the groups in the three-month period. All samples showedfibrocellular neointima formation with mostly spindle-shaped smoothmuscle-like cells in the neointima and a confluent squamous periluminalcell layer. There were no intramural hemorrhages or persistent fibrinoiddeposits in the neointima; however some samples, particularly those withthicker neointima, showed evidence of prior thrombus accumulation andsubsequent organization in the form of neovascularization in theneointima. On occasion, samples showed evidence of moderate to severeinflammatory reactions localized to the stent struts, associated withdestruction of the tunica media architecture. These were most oftenassociated with thicker neointima as well. However, these were few innumber and were found in the control group as well as in the drug-coatedstent groups. It is presumed that these represented eitheranimal-specific generalized reactions to the implanted stent, evidenceof contamination of the stent, or some combination of these two factors,and is commonly found at an incidence of about 10-15% in the studies ofstem implants in swine coronary arteries. There was no evidence ofnecrosis of the tunica media or separation of the media from the stentin any sample. The adventitia of most three-month implants appeared tohave somewhat greater neovascularization than did the one-monthimplants, but this did not appear related to control or test stentgroup. Scanning electron microscopy demonstrated confluent endotheliumwith rare adherent blood cells in the control group and all dose groups.

The stent coated with ABT-578 reduced in-stent neointima formation inswine coronary arteries and provided clear evidence of a biologic drugeffect (unresorbed thrombus/fibrin deposits of neointima) at one month.There was a weak tendency for the stent coated with ABT-578 to show apersistent inhibitory effect at the longer-term time interval of threemonths. There was no local coronary arterial wall toxicity in the formof medial necrosis or stent malapposition associated with any dosegroup, including the highest dose of approximately 27 μg/mm stent lengthat any time interval examined. All stents were well incorporated intothe tissue, and there was evidence of stable healing responses in theform of fibrocellular neointimal incorporation and endothelial coverageat the one-month interval and at the three-month interval. The trendtowards a sustained inhibitory effect at three months after the stentwas implanted in this animal is surprising and provides evidence forpotentially persistent effects in preventing clinical restenosisresulting from implanted stents.

Example 7

Rapamycin analog crystals were prepared by crystallizing the analog in abiphasic mixture. Briefly, ABT-578 was added to a vial containing 0.23 gacetone and 0.82 g heptane and incubated at 0 degrees Celsius so as tosaturate the liquid phase. The mixture was incubated until aliquid-liquid phase split occurred as ABT-578 dissolved into the acetonesolution resulting in an ABT-578-acetone rich bottom phase and a heptanerich top phase. The biphasic mixture was incubated at 0 degrees Celsiusfor 10 days at which rapamycin analog crystals were observed at thebottom of the vial. FIG. 2A shows the powder X-ray diffraction (PXRD)patterns.

The acetone solvate was analyzed for pertinent crystallographicinformation, which is included in Table 10. It was determined that thesolvent molecules along the c-axis separate the ABT-578 molecules. Thesolvent molecules are fairly disordered, but it appears as if there arefour acetones, and two water molecules per ABT-578. ABT-578 moleculesinteract via Van der Waal's interactions along the a- and b-axes.

TABLE 10 Acetone Solvate Crystallographic Information Parameter ABT-578Crystal System Orthorhombic Space group P2 ₁   2 ₁   2 ₁ a, Å 12.245 b,Å 17.401 c, Å 33.356 Volume, (Å ³ ) 7107 ρcalc (g/cm ³ ) 1.120

Example 8

Crystals of ABT-578 toluene solvate were generated by the followingprocedure. A clear solution was prepared by dissolving 100 mg ofamorphous ABT-578 in 300 mg toluene. The solution was stirred at 22degrees Celsius for 15 hours upon which a thick slurry of crystallinesolids was observed. FIG. 4A shows the powder X-ray diffraction patternof toluene solvate crystals prepared using solids from the abovepreparation as seeds.

Example 9

Crystals of ABT-578 acetonitrile desolvated solvate were generated bysaturating acetonitrile with amorphous ABT-578 at 22 degrees Celsius,and then incubating the saturated solution at 0 degrees Celsius for 2hours. FIG. 5A shows the powder X-ray diffraction pattern of thecrystals. The crystals can then be dried to form an acetonitriledesolvate, and FIG. 6C shows the thermogravimeric analysis data for thedesolvate.

Example 10

Crystals of ABT-578 ethyl formate solvate were generated by slurrying awetcake of acetonitrile solvate in ethyl formate at 0 degrees Celsius.FIGS. 7A and 7C show the powder X-ray diffraction pattern andthermogravimeric analysis of the crystals, respectively.

Example 11

Crystals of ABT-578 isopropyl acetate solvate were generated byslurrying a wetcake of acetonitrile solvate in isopropyl acetate at 0degrees Celsius.

Example 12

Crystals of ABT-578 were prepared by adding 380 mg amorphous ABT-578 toa vial and charging 870 mg isobutyl acetate to it to enable dissolution.This was incubated at 0 degrees Celsius for 16 hours upon which acrystalline slurry was obtained. FIGS. 9A and 9C show the powder X-raydiffraction pattern and thermogravimeric analysis of the crystals,respectively.

Example 13

Crystals of ABT-578 ethanol solvate were prepared by adding 417 mgamorphous ABT-578 to a vial and charging 315 mg ethanol 200 proof to itto enable dissolution. This was seeded after 15 hours with theacetonitrile desolvated solvate and incubated at 0 degrees Celsius foran additional 16 hours upon which a crystalline slurry was obtained.

Example 14

Crystals of ABT-578 N,N dimethyl formamide solvate were generated byslurrying a wetcake of acetonitrile solvate in N,N dimethyl formamide at0 degrees Celsius. FIGS. 10A and 10B show the powder X-ray diffractionpattern and thermogravimeric analysis of the crystals, respectively.

Example 15

Crystals of ABT-578 anisole solvate were generated by slurrying awetcake of acetonitrile solvate in anisole at 0 degrees Celsius. FIGS.11A and 11C show the powder X-ray diffraction pattern andthermogravimeric analysis of the crystals, respectively.

Example 16

A crystalline rapamycin analog in the form of acetone solvate wasprepared by dissolving approximately 120 mg of amorphous rapamycinanalog in 200 uL of acetone at ambient temperature and incubating theresulting solution at 5 degrees Celsius for 14 hours or untilcrystalline solids are observed in a crystalline slurry. The crystalswere analyzed by powder X-ray diffraction, which is shown in FIG. 2B.The crystals were equilibrated at ambient temperature followed byfurther drying at 30 degrees Celsius under vacuum (approximately 3inches of mercury). The dried crystals were then analyzed by powderX-ray diffraction, which is shown in FIG. 3B.

Example 17

A crystalline rapamycin analog in the form of a toluene solvate wasprepared by dissolving approximately 220 mg of amorphous rapamycinanalog in approximately 400 uL of toluene at 45 degrees Celsius to forma solution. The solution was incubated at 5 degrees Celsius for about 1hour or until crystalline solids can be observed. FIG. 4B is thediffraction pattern of the toluene solvate. A diffraction pattern of adesolvated toluene solvate is shown in FIG. 4E. The desolvated crystalswere obtained by allowing solvate crystals equilibrate at ambienttemperature followed by further drying at 30 degrees Celsius undervacuum (approximately 3 inches of mercury).

The loss of toluene upon heating can be described in 3 stages. The firststage loss of toluene is at temperature below 90 degrees Celsius. Thesecond stage is at temperatures from 90 degrees Celsius to 130 degreesCelsius, and the last stage is after melting, >150 degrees Celsius.Therefore, the crystalline desolvated toluene solvate obtained by dryingis a partially desolvated product. The X-ray single crystal structure oftoluene solvate has been determined. The crystallographic information islisted in Table 11.

TABLE 11 Crystallographic Information of ABT-578 Toluene Solvate ABT-578toluene solvate T/K 293 Space group P2 ₁ Crystal system Monoclinic a/Å17.649(5) b/Å 12.299(3) c/Å 17.785(4) β/° 113.518(4) V/Å ³ 3539.83 Z 2ρcalc/g cm ⁻ ³ 1.138

The ABT-578 toluenate crystallizes in P₂₁ chiral space group, and thereare two ABT-578 molecules in each unit cell. FIG. 4C shows the X-raysingle crystal structure of ABT-578 toluene solvate, which was obtainedusing molybdenum-k alpha radiation (0.070930). As can be seen from thestructure, in each asymmetric unit of the crystal, there are threetoluene molecules and one Zotarolimus molecule. So the toluene solvateis a tri-toluenate. Among the three toluene molecules (T_(a), T_(b), andT_(c)), T_(a) and T_(b) have short contacts with ABT-578 molecule (i.e.C—H•••π and C═O•••H—C═C interactions). T_(c) interacts with surroundingmolecules only via weak Van der Waal's force. Interestingly, in thetoluene solvate crystal structure there are solvent channels alone the baxis, as shown in FIG. 4D. Toluene molecules T_(a) and T_(c) are moreexposed in the channel and are expected to remove relatively easily fromthe crystals. On the other hand, toluene molecule T_(b) is semi-trappedin a cavity surrounded by ABT-578 molecules. Therefore, for these threedifferent toluene molecules. T_(b) binds tightly, T_(α) binds moderatelytightly, and T_(c) binds loosely to ABT-578 molecules. This explains thefact that the toluene solvate shows staged loss of toluene upondrying/heating and that complete removal of toluene from the crystals isdifficult to achieve. It also explains the crystal lattice shrinkagealong α axis upon drying as evidenced by the PXRD pattern change ofdesolvation of toluene solvate, as shown in FIG. 4F.

Example 18

A crystalline raparnycin analog in the form of an acetonitrile solvatewas prepared by dissolving approximately 100 mg of amorphous rapamycinanalog in 200 uL of acetonitrile at 45 degrees Celsius and incubating atabout −12 degrees Celsius for about 30 hours after which the solutionwas seeded with a trace amount of toluene solvate crystals. Crystallinesolids formed after seeding by further incubation at −12 degreesCelsius. The crystals can then be analyzed by powder X-ray diffraction,which is shown by FIG. 5B. The crystals were equilibrated at ambienttemperature followed by further drying at 30 degrees Celsius undervacuum (approximately 3 inches of mercury). The dried crystals can beanalyzed by powder X-ray diffraction, which is shown in FIG. 6B.

Example 19

A crystalline raparnycin analog in the form of an ethyl formate solvatewas prepared by dissolving approximately 100 mg of amorphous rapamycinanalog in 200 uL of ethyl formate at 45 degrees Celsius and incubatingat about 5 degrees Celsius for about 14 hours or until crystals form.FIG. 7B is the diffraction pattern of the ethyl formate solvate. Theethyl formate desolvate diffraction pattern is shown by FIG. 8. Thedesolvated crystals were obtained by allowing solvate crystalsequilibrate at ambient temperature followed by further drying at 30degrees Celsius under vacuum (approximately 3 inches of mercury).

Example 20

A crystalline rapamycin analog in the form of an isopropyl acetatesolvate was prepared by dissolving approximately 100 mg of amorphousrapamycin analogue in approximately 200 uL of isopropyl acetate atambient temperature. The solution was incubated at 5 degrees Celsius for14 hours or until crystalline solids were observed. The isopropylacetate solvate diffraction pattern is shown by FIG. 17A. The desolvatedcrystals were obtained by allowing solvate crystals equilibrate atambient temperature followed by further drying at 30 degrees Celsiusunder vacuum (approximately 3 inches of mercury). FIG. 17B shows theX-ray powder diffraction patterns of the desolvated solvate.

Example 21

A crystalline rapamycin analog, in the form of an isobutyl acetatesolvate was prepared by adding approximately 400 mg of amorphousrapamycin analog to a vial and charging approximately 870 mg of isobutylacetate into the vial to enable dissolution at ambient temperature. Thesolution was then be incubated at about 0 degrees Celsius for about 16hours or until a crystalline slurry was obtained. The crystals were thenanalyzed by powder X-ray diffraction, which is shown by FIG. 9B.

Example 22

A crystalline rapamycin analog in the form of an ethanol solvate wasprepared by dissolving approximately 100 mg of amorphous rapamycinanalog in 400 μL of ethanol (200 proof) at 45 degrees Celsius andincubating at approximately 5 degrees Celsius for 14 hours or untilcrystals form. FIG. 12A is the diffraction pattern of the solvate. Thedesolvated crystals were obtained by allowing solvate crystalsequilibrate at ambient temperature followed by further drying at 30degrees Celsius under vacuum (approximately 3 inches of mercury). FIG.12B shows the X-ray powder diffraction patterns of the desolvatedsolvate.

Example 23

Crystals of ABT-578 methanol solvate were prepared by dissolving 93 mgof amorphous ABT-578 in 200 uL of methanol at ambient temperature andstoring at −12 degrees Celsius for 30 hours before seeded with a traceamount of toluene solvate crystals. Crystalline solids formed afterseeding by further incubation at −12 degrees Celcius. FIGS. 13A and 13Bshow the X-ray powder diffraction patterns of the solvate crystals andthe desolvated solvate, respectively. The desolvated crystals wereobtained by allowing solvate crytals equilibrate at ambient temperaturefollowed by further drying at 30 degrees Celsius under vacuum(approximately 3 inches of mercury).

Example 24

Crystals of ABT-578 ethyl acetate solvate were prepared by dissolving103 mg of amorphous ABT-578 in 200 uL of ethyl acetate at ambienttemperature and storing at −12 degrees Celsius for 30 hours beforeseeded with a trace amount of toluene solvate crystals. Crystallinesolids formed after seeding by further incubation at −12 degreesCelsius. FIGS. 14A and 14B show the X-ray powder diffraction patterns ofthe solvate crystals and the corresponding desolvated solvate,respectively. The desolvated crystals were obtained by allowing solvatecrystals equilibrate at ambient temperature followed by further dryingat 30 degrees Celsius under vacuum (approximately 3 inches of mercury).

Example 25

Crystals of ABT-578 methyl isopropyl ketone solvate were prepared bydissolving 96 mg of amorphous ABT-578 in 200 uL of methyl isopropylketone at ambient temperature and storing at −12 degrees Celsius for 30hours before seeded with a trace amount of toluene solvate crystals.Crystalline solids formed after seeding by further incubation at −12degrees Celsius. FIGS. 15A and 15B show the X-ray powder diffractionpattern of the solvate crystals and the corresponding desolvatedsolvate, respectively. The desolvated crystals were obtained by allowingsolvate crystals equilibrate at ambient temperature followed by furtherdrying at 30 degrees Celsius under vacuum (approximately 3 inches ofmercury).

Example 26

Crystals of ABT-578 nitromethane solvate were prepared by dissolving 100mg of amorphous ABT-578 in 200 uL of nitromethane at ambient temperatureand storing at −12 degrees Celsius for 30 hours before seeded with atrace amount of toluene solvate crystals. Crystalline solids formedafter seeding by further incubation at −12 degrees Celsius. Nitromethanesolvate of ABT-578 desolyated easily at ambient temperature and appearedas a semi-crystalline phase in the X-ray powder diffraction patternanalysis (FIG. 16).

Example 27

Crystals of ABT-578 propionitrile solvate were prepared by dissolving108 mg of amorphous ABT-578 in 200 uL of propionitrile at 45 degreesCelsius and storing at −12 degrees Celsius for 30 hours before seededwith a trace amount of toluene solvate crystals. Crystalline solidsformed after seeding by further incubation at −12 degrees Celsius. FIG.18A shows the X-ray powder diffraction patterns of the solvate crystals,and desolvation of the crystals yielded a semi-crystalline phase. Thedesolvated crystals were obtained by allowing solvate crystalsequilibrate at ambient temperature followed by further drying at 30degrees Celsius under vacuum (approximately 3 inches of mercury). FIG.18B shows the X-ray powder diffraction patterns of the desolvatedsolvate.

Example 28

Crystals of ABT-578 methyl ethyl ketone solvate were prepared bydissolving 94 mg of amorphous ABT-578 in 200 uL of methyl ethyl ketoneat ambient temperature and storing at −12 degrees Celsius for 30 hoursbefore seeded with a trace amount of toluene solvate crystals.Crystalline solids formed after seeding by further incubation at −12degrees Celsius. FIG. 19A shows the X-ray powder diffraction pattern ofthe solvate crystals, and desolvation of the crystals yielded asemi-crystalline phase. The desolvated crystals were obtained byallowing solvate crystals equilibrate at ambient temperature followed byfurther drying at 30 degrees Celsius under vacuum (approximately 3inches of mercury). FIG. 19B shows the X-ray powder diffraction patternsof the desolvated solvate.

Example 29

Crystals of ABT-578 tetrahydrofuran solvate were prepared by dissolving107 mg of amorphous ABT-578 in 200 uL of tetrahydrofuran at ambienttemperature and storing at −12 degrees Celsius for 30 hours beforeseeded with a trace amount of toluene solvate crystals. Crystallinesolids formed after seeding by further incubation at −12 degreesCelsius. FIG. 20A shows the X-ray powder diffraction pattern of thecrystals, and desolvation of the crystals yielded a semi-crystallinephase. The desolvated crystals were obtained by allowing solvatecrystals equilibrate at ambient temperature followed by further dryingat 30 degrees Celsius under vacuum (approximately 3 inches of mercury).FIG. 20B shows the X-ray powder diffraction patterns of the desolvatedsolvate.

Example 30

Crystals of ABT-578 1,2-dimethoxyethane solvate were prepared bydissolving 110 mg of amorphous ABT-578 in 200 uL of 1,2-dimethoxyethaneat ambient temperature and storing at −12 degrees Celsius for 30 hoursbefore seeded with a trace amount of toluene solvate crystals.Crystalline solids formed after seeding by further incubation at −12degrees Celsius. FIG. 21A shows the X-ray powder diffraction pattern ofthe solvate crystals, and desolvation of the crystals yielded asemi-crystalline phase. The desolvated crystals were obtained byallowing solvate crystals equilibrate at ambient temperature followed byfurther drying at 30 degrees Celsius under vacuum (approximately 3inches of mercury). FIG. 21B shows the X-ray powder diffraction patternsof the desolvated solvate.

While the invention has been described, disclosed, illustrated and shownin various terms of certain embodiments or modifications which it haspresumed in practice, the scope of the invention is not intended to be,nor should it be deemed to be, limited thereby and such othermodifications or embodiments as may be suggested by the teachings hereinare particularly reserved especially as they fall within the breadth andscope of the claims here appended. Additionally, all publicationsrecited herein are incorporated herein by specific reference.

1. A pharmaceutical composition comprising: a pharmaceuticallyacceptable carrier; and a therapeutically effective amount of acrystalline form of a compound, or a pharmaceutically acceptable saltthereof, having a structure of Formula
 1.


2. The composition of claim 1, wherein the crystalline compound or saltthereof is a solvate or a desolvate thereof.
 3. The composition of claim2, wherein the solvate comprises a solvent selected from the groupconsisting of acetone, ethyl acetate, methanol, ethanol, n-propanol,isopropanol, isobutanol. tertbutanol, 2-butanol, acetronitrile,tetrahydrofuran, isobutyl acetate, n-butyl acetate, ethyl formate,n-propyl acetate, isopropyl acetate, methylethyl ketone, toluene, N,Ndimethyl formamide, anisole, methyl isopropyl ketone, nitromethane,propionitrile, 2-butanone, 1,2-dimethoxyethane, and combinationsthereof.
 4. The composition of claim 2, wherein the crystalline form ofthe compound or salt thereof is a solvate having a form according to theX-ray diffraction pattern substantially as shown in one of thefollowing: FIG. 2A; FIG. 2B; FIG. 4A; FIG. 4B; FIG. 5A; FIG. 5B; FIG.7A; FIG. 7B; FIG. 9A; FIG. 9B; FIG. 10A; FIG. 10B; FIG. 11A; FIG. 11B;FIG. 13A; FIG. 14A; FIG. 16; FIG. 15A; FIG. 12A; FIG. 17A; FIG. 18A;FIG. 19A; FIG. 20A; or FIG. 21A.
 5. The composition of claim 2, whereinthe crystalline form of the compound or salt thereof is a desolvatehaving a form according to the X-ray diffraction pattern substantiallyas shown in one of the following: FIG. 3A; FIG. 3B; FIG. 6A; FIG. 6B;FIG. 4E; FIG. 13B; FIG. 14B; FIG. 15B; FIG. 8; FIG. 12B; FIG. 17B; FIG.18B; FIG. 19B; FIG. 20B; or FIG. 21B.
 6. The composition of claim 1,wherein the crystalline form or salt thereof is an acetonitrile solvateor a desolvate thereof, an acetone solvate or a desolvate thereof, atoluene solvate, an ethyl formate solvate, a hydrate, an isopropylsolvate, an isobutyl solvate, an ethanol solvate, a N, N-dimethylformamide solvate, or an anisole solvate.
 7. The composition of claim 1,further comprising a second pharmacological agent.
 8. The composition ofclaim 7, wherein the second pharmacological agent is selected from thegroup consisting of anti-proliferative agents, anti-platelet agents,anti-inflammatory agents, anti-thrombotic agents, and thrombolyticagents.
 9. The composition of claim 8, wherein the anti-proliferativeagent is an anti-mitotic agent.
 10. The composition of claim 9, whereinthe anti-mitotic agent is a vinca alkaloid or an alkylating agent. 11.The composition of claim 8, wherein the anti-proliferative agent isselected from the group consisting of vincristine, paclitaxel,etoposide, nocodazole, indirubin, anthracycline derivatives,tauromustine, bofumustine, and fotemustine, and anti-mitoticmetabolites.
 12. The composition of claim 8, wherein the anti-plateletagent is selected from the group consisting of eptifibatide, tirofiban,RGD-base peptides, disagregin, and cilostazol.
 13. The composition ofclaim 8, wherein the anti-inflammatory agent is selected from the groupconsisting of prednisone, dexamethasone, hydrocortisone, estradiol,fluticasone, clobetasol, acetaminophen, ibuprofen, naproxen, andsulindac.
 14. A method of treating intimal smooth muscle cellhyperplasia, restenosis, or vascular occlusion in mammals, comprisingadministering the pharmaceutical composition of claim 1 to a subject inneed thereof.
 15. A method of treating intimal smooth muscle cellhvperplasia, restenosis, or vascular occlusion in mammals, comprisingadministering the pharmaceutical composition of claim 8 to a subject inneed thereof.